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, Vol. 25, No. 1, 02.2018, p. 40-46.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

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Kölbel, T, Bosaeus, L, Tsilimparis, N, Heidemann, F, Rohlffs, F & Liungman, K 2018, 'Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels', J ENDOVASC THER, vol. 25, no. 1, pp. 40-46. https://doi.org/10.1177/1526602817744344

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Bibtex

@article{075de299f8c84dd690b4393c25560486,
title = "Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels",
abstract = "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.",
keywords = "Aged, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Endovascular Procedures/instrumentation, Female, Humans, Prosthesis Design, Stents, Treatment Outcome, Vascular Access Devices",
author = "Tilo K{\"o}lbel and Linus Bosaeus and Nikolaos Tsilimparis and Franziska Heidemann and Fiona Rohlffs and Krister Liungman",
year = "2018",
month = feb,
doi = "10.1177/1526602817744344",
language = "English",
volume = "25",
pages = "40--46",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "1",

}

RIS

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 -