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 journalSCORING: Journal articleResearchpeer-review

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@article{9c96be4eb6d64af388e0ec7827bf0bf4,
title = "Balloon-Anchoring Technique to Stabilize Target Vessel Catheterization in Complex Endovascular Aortic Repair",
abstract = "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.",
keywords = "Aged, Angioplasty, Balloon/instrumentation, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Humans, Stents, Treatment Outcome, Vascular Access Devices",
author = "Franziska Heidemann and Giuseppe Panuccio and Nikolaos Tsilimparis and Fiona Rohlffs and Ahmed, {Eltayeb Mohamed} and Debus, {E Sebastian} and Tilo K{\"o}lbel",
year = "2020",
month = apr,
doi = "10.1177/1526602819900989",
language = "English",
volume = "27",
pages = "248--251",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "2",

}

RIS

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 -