Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels
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Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels. / Kölbel, Tilo; Bosaeus, Linus; Tsilimparis, Nikolaos; Heidemann, Franziska; Rohlffs, Fiona; Liungman, Krister.
in: J ENDOVASC THER, Jahrgang 25, Nr. 1, 02.2018, S. 40-46.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels
AU - Kölbel, Tilo
AU - Bosaeus, Linus
AU - Tsilimparis, Nikolaos
AU - Heidemann, Franziska
AU - Rohlffs, Fiona
AU - Liungman, Krister
PY - 2018/2
Y1 - 2018/2
N2 - PURPOSE: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator.TECHNIQUE: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm. She was treated with a fenestrated Zenith stent-graft that had a catheter-preloaded fenestration for the left subclavian artery (LSA) and a scallop for the left common carotid artery. To avoid through-and-through wire and brachial access, the LGF was used to secure the guidewire in the LSA during stent-graft deployment.CONCLUSION: The use of an LGF for anchoring in the target LSA during fenestrated arch endografting was feasible and safe.
AB - PURPOSE: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator.TECHNIQUE: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm. She was treated with a fenestrated Zenith stent-graft that had a catheter-preloaded fenestration for the left subclavian artery (LSA) and a scallop for the left common carotid artery. To avoid through-and-through wire and brachial access, the LGF was used to secure the guidewire in the LSA during stent-graft deployment.CONCLUSION: The use of an LGF for anchoring in the target LSA during fenestrated arch endografting was feasible and safe.
KW - Aged
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/instrumentation
KW - Endovascular Procedures/instrumentation
KW - Female
KW - Humans
KW - Prosthesis Design
KW - Stents
KW - Treatment Outcome
KW - Vascular Access Devices
U2 - 10.1177/1526602817744344
DO - 10.1177/1526602817744344
M3 - SCORING: Journal article
C2 - 29187014
VL - 25
SP - 40
EP - 46
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 1
ER -