Combined transbrachial and transfemoral strategy to deploy an iliac branch endoprosthesis in the setting of a pre-existing endovascular aortic aneurysm repair

AbstractThis article describes brachial access to position a long sheath in the abdominal aorta in conjunction with a large caliber sheath via the femoral artery ipsilateral to the target site to deliver a 0.018 bodyfloss wire. This bodyfloss wire is inserted into the precannulation port of the ilia...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2019-09, Vol.5 (3), p.305-309
Main Authors: Wang, S. Keisin, MD, Miladore, Julia N., MD, Yee, Elliott J., BS, Liao, Jane L., BS, Donde, Nikunj N., BS, Motaganahalli, Raghu L., MD
Format: Article
Language:English
Subjects:
Endovascular aortic aneurysm repair (EVAR)
Iliac aneurysm
Iliac branch endoprosthesis
Innovative technique
Reintervention
Surgery
Transbrachial
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Summary:AbstractThis article describes brachial access to position a long sheath in the abdominal aorta in conjunction with a large caliber sheath via the femoral artery ipsilateral to the target site to deliver a 0.018 bodyfloss wire. This bodyfloss wire is inserted into the precannulation port of the iliac branch endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz), which is then advanced from the groin. Once the bifurcated device is deployed, hypogastric access and stenting is achieved from the upper extremity. This technique is an alternative to safely extend the distal seal while preserving the hypogastric artery and has the advantage of limited iliac bifurcation manipulation.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2019.03.007