Stabilization of a steerable sheath during retrograde access to antegrade-oriented branches in complex endovascular aortic aneurysm repair

During branched endovascular aneurysm repair, cannulation of the visceral target vessels through antegrade branches and insertion of bridging stents are frequently done from an upper extremity access. A retrograde femoral approach is a challenging alternative when an antegrade approach is not prefer...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2020-06, Vol.6 (2), p.288-291
Main Authors: Lemmens, Charlotte C., Mees, Barend M.E., de Haan, Michiel W., Schurink, Geert Willem H.
Format: Article
Language:English
Subjects:
Branched stent graft
Endovascular treatment
Innovative technique
Steerable sheath
Thoracoabdominal aortic aneurysm
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Summary:During branched endovascular aneurysm repair, cannulation of the visceral target vessels through antegrade branches and insertion of bridging stents are frequently done from an upper extremity access. A retrograde femoral approach is a challenging alternative when an antegrade approach is not preferred. Herein, we describe a technique to increase stability of a steerable sheath, using a single suture, for bridging antegrade-facing branches from a retrograde access. This technique secures the sheath's deflected tip and provides more pushability to the steerable sheath.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2020.03.014