Balloon-Anchoring Technique to Stabilize Target Vessel Catheterization in Complex Endovascular Aortic Repair
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Balloon-Anchoring Technique to Stabilize Target Vessel Catheterization in Complex Endovascular Aortic Repair. / Heidemann, Franziska; Panuccio, Giuseppe; Tsilimparis, Nikolaos; Rohlffs, Fiona; Ahmed, Eltayeb Mohamed; Debus, E Sebastian; Kölbel, Tilo.
In: J ENDOVASC THER, Vol. 27, No. 2, 04.2020, p. 248-251.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Balloon-Anchoring Technique to Stabilize Target Vessel Catheterization in Complex Endovascular Aortic Repair
AU - Heidemann, Franziska
AU - Panuccio, Giuseppe
AU - Tsilimparis, Nikolaos
AU - Rohlffs, Fiona
AU - Ahmed, Eltayeb Mohamed
AU - Debus, E Sebastian
AU - Kölbel, Tilo
PY - 2020/4
Y1 - 2020/4
N2 - Purpose: To describe a bailout technique to stabilize target vessel catheterization in branched endovascular aortic repair. Technique: The technique is demonstrated in a 75-year-old patient with a 75-mm symptomatic type III thoracoabdominal aortic aneurysm that was treated with a t-Branch endograft. If a catheter cannot be advanced for exchange to a more stable guidewire after target vessel catheterization, the balloon-anchoring technique can be applied to stabilize the through-the-branch hydrophilic guidewire. Through a femoral access a catheter and hydrophilic wire are passed outside the device into the target vessel and exchanged with a stiff wire; a semicompliant balloon is advanced over the Rosen wire and inflated in the target vessel, stabilizing the through-the-branch hydrophilic wire and facilitating its exchange with a stiff wire over a catheter or advancement of the bridging covered stent directly. Conclusion: The balloon-anchoring technique adds to the spectrum of bailout techniques that can be applied in cases of challenging target vessel access.
AB - Purpose: To describe a bailout technique to stabilize target vessel catheterization in branched endovascular aortic repair. Technique: The technique is demonstrated in a 75-year-old patient with a 75-mm symptomatic type III thoracoabdominal aortic aneurysm that was treated with a t-Branch endograft. If a catheter cannot be advanced for exchange to a more stable guidewire after target vessel catheterization, the balloon-anchoring technique can be applied to stabilize the through-the-branch hydrophilic guidewire. Through a femoral access a catheter and hydrophilic wire are passed outside the device into the target vessel and exchanged with a stiff wire; a semicompliant balloon is advanced over the Rosen wire and inflated in the target vessel, stabilizing the through-the-branch hydrophilic wire and facilitating its exchange with a stiff wire over a catheter or advancement of the bridging covered stent directly. Conclusion: The balloon-anchoring technique adds to the spectrum of bailout techniques that can be applied in cases of challenging target vessel access.
KW - Aged
KW - Angioplasty, Balloon/instrumentation
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/instrumentation
KW - Humans
KW - Stents
KW - Treatment Outcome
KW - Vascular Access Devices
U2 - 10.1177/1526602819900989
DO - 10.1177/1526602819900989
M3 - SCORING: Journal article
C2 - 31989858
VL - 27
SP - 248
EP - 251
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 2
ER -