Use of a Steerable Sheath for Retrograde Access to Antegrade Branches in Branched Stent-Graft Repair of Complex Aortic Aneurysms

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Use of a Steerable Sheath for Retrograde Access to Antegrade Branches in Branched Stent-Graft Repair of Complex Aortic Aneurysms. / Makaloski, Vladimir; Tsilimparis, Nikolaos; Rohlffs, Fiona; Spanos, Konstantinos; Debus, E Sebastian; Kölbel, Tilo.

in: J ENDOVASC THER, Jahrgang 25, Nr. 5, 10.2018, S. 566-570.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{11f6b90f14994cd9a72a6183505ceb92,
title = "Use of a Steerable Sheath for Retrograde Access to Antegrade Branches in Branched Stent-Graft Repair of Complex Aortic Aneurysms",
abstract = "PURPOSE: To describe how to use a steerable sheath from a femoral access to catheterize antegrade branches in a branched aortic stent-graft.TECHNIQUE: Following femoral cutdown, a stent-graft with antegrade branches destined for renovisceral target vessels was deployed in the desired position. A steerable sheath with a tip that rotates up to 180° was introduced from the common femoral artery and navigated to the antegrade branches for consecutive catheterization of the target vessels and deployment of one or more bridging stents per branch. The technique is demonstrated in 4 patients who underwent successful complex abdominal and thoracoabdominal branched endovascular repairs with 1, 2, and 4 antegrade branches.CONCLUSION: Retrograde access for complex aortic endografts with antegrade branches using a steerable sheath appears feasible and effective and may serve as an alternative to upper extremity access.",
keywords = "Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal/diagnostic imaging, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Catheterization, Peripheral/adverse effects, Endovascular Procedures/adverse effects, Female, Femoral Artery/diagnostic imaging, Humans, Male, Middle Aged, Prosthesis Design, Stents, Treatment Outcome, Vascular Access Devices",
author = "Vladimir Makaloski and Nikolaos Tsilimparis and Fiona Rohlffs and Konstantinos Spanos and Debus, {E Sebastian} and Tilo K{\"o}lbel",
year = "2018",
month = oct,
doi = "10.1177/1526602818794965",
language = "English",
volume = "25",
pages = "566--570",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "5",

}

RIS

TY - JOUR

T1 - Use of a Steerable Sheath for Retrograde Access to Antegrade Branches in Branched Stent-Graft Repair of Complex Aortic Aneurysms

AU - Makaloski, Vladimir

AU - Tsilimparis, Nikolaos

AU - Rohlffs, Fiona

AU - Spanos, Konstantinos

AU - Debus, E Sebastian

AU - Kölbel, Tilo

PY - 2018/10

Y1 - 2018/10

N2 - PURPOSE: To describe how to use a steerable sheath from a femoral access to catheterize antegrade branches in a branched aortic stent-graft.TECHNIQUE: Following femoral cutdown, a stent-graft with antegrade branches destined for renovisceral target vessels was deployed in the desired position. A steerable sheath with a tip that rotates up to 180° was introduced from the common femoral artery and navigated to the antegrade branches for consecutive catheterization of the target vessels and deployment of one or more bridging stents per branch. The technique is demonstrated in 4 patients who underwent successful complex abdominal and thoracoabdominal branched endovascular repairs with 1, 2, and 4 antegrade branches.CONCLUSION: Retrograde access for complex aortic endografts with antegrade branches using a steerable sheath appears feasible and effective and may serve as an alternative to upper extremity access.

AB - PURPOSE: To describe how to use a steerable sheath from a femoral access to catheterize antegrade branches in a branched aortic stent-graft.TECHNIQUE: Following femoral cutdown, a stent-graft with antegrade branches destined for renovisceral target vessels was deployed in the desired position. A steerable sheath with a tip that rotates up to 180° was introduced from the common femoral artery and navigated to the antegrade branches for consecutive catheterization of the target vessels and deployment of one or more bridging stents per branch. The technique is demonstrated in 4 patients who underwent successful complex abdominal and thoracoabdominal branched endovascular repairs with 1, 2, and 4 antegrade branches.CONCLUSION: Retrograde access for complex aortic endografts with antegrade branches using a steerable sheath appears feasible and effective and may serve as an alternative to upper extremity access.

KW - Aged

KW - Aged, 80 and over

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/adverse effects

KW - Catheterization, Peripheral/adverse effects

KW - Endovascular Procedures/adverse effects

KW - Female

KW - Femoral Artery/diagnostic imaging

KW - Humans

KW - Male

KW - Middle Aged

KW - Prosthesis Design

KW - Stents

KW - Treatment Outcome

KW - Vascular Access Devices

U2 - 10.1177/1526602818794965

DO - 10.1177/1526602818794965

M3 - SCORING: Journal article

C2 - 30079785

VL - 25

SP - 566

EP - 570

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 5

ER -