To counteract such sequelae, we used a protective balloon during the procedure of the embolization of mediastinal canal, which was of particular relevance when deploying the proximal coil and injecting the glue into the adjacent portion of mediastinal canal.
Then, under endoscopic surveillance, the remainder of the stent was deployed, keeping the proximal end in sight.
Once tissue plication was optimized, the proximal anchor was deployed near the CS ostium.
The "concertina effect", longitudinal deformation of the proximal segments of a deployed stent when force is applied from a guide catheter or other equipment, is a recently recognised problem which seems to particularly affect more recent stent designs.
The stent graft is deployed distally in the descending aorta and the proximal vascular graft is surgically anastomosed to the ascending aorta.
A 6-F left Amplatz 1.5 guiding catheter was used to engage the left coronary system to perform PCI to the anomalous RCA and LAD, one stent was implanted at the proximal of the RCA segment and another stent deployed in the proximal of the LAD segment.
If metabolite accumulation appears to account for the cutaneous phenotype, it would seem reasonable to deploy a proximal enzyme inhibitor [e.g., of HMGCoA reductase (lovastatin)] to reduce levels of potentially-toxic metabolites.
Therefore, we performed TEVAR with the TX2 in the proximal site to seal the entry tear and the TXD was deployed at the SMA to expand the true lumen and improve blood flow in the SMA.
The stent was then deployed from the distal part under EUS and radiological guidance, followed by deployment of the proximal part under direct endoscopic guidance, using special manufacturers instructions and the steps provided on the delivery system handle.
The stents were deployed proximal to the papilla and confirmed in proper position under fluoroscopy.
