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Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair

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Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair. / Panuccio, Giuseppe; Rohlffs, Fiona; Makaloski, Vladimir; Eleshra, Ahmed; Tsilimparis, Nikolaos; Kölbel, Tilo.

In: J ENDOVASC THER, Vol. 26, No. 6, 12.2019, p. 805-809.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Panuccio, G, Rohlffs, F, Makaloski, V, Eleshra, A, Tsilimparis, N & Kölbel, T 2019, 'Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair', J ENDOVASC THER, vol. 26, no. 6, pp. 805-809. https://doi.org/10.1177/1526602819871931

APA

Panuccio, G., Rohlffs, F., Makaloski, V., Eleshra, A., Tsilimparis, N., & Kölbel, T. (2019). Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair. J ENDOVASC THER, 26(6), 805-809. https://doi.org/10.1177/1526602819871931

Vancouver

Panuccio G, Rohlffs F, Makaloski V, Eleshra A, Tsilimparis N, Kölbel T. Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair. J ENDOVASC THER. 2019 Dec;26(6):805-809. https://doi.org/10.1177/1526602819871931

Bibtex

@article{56333f82eb724307a2fdc3c6cf5bb352,
title = "Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair",
abstract = "Purpose: To describe a technique to catheterize antegrade branches of a branched thoracoabdominal endograft from a femoral access with the help of standard sheaths and a vascular suture. Technique: The technique is demonstrated in a patient who underwent successful complex thoracoabdominal branched endovascular aortic repair. After the deployment of an aortic endograft with two antegrade branches for the targeted renovisceral vessels, a standard braided sheath was preloaded with a 3/0 polypropylene suture and introduced inside an additional sheath from the groin to the thoracic aorta. Simultaneous gentle traction on the suture as the preloaded sheath was advanced achieved a very stable 180° curve of the proximal end of the sheath. It was possible to selectively catheterize the antegrade branches and respective target vessels sequentially, as well as deploy the planned bridging stents for each branch. Conclusion: The through-and-through suture technique is a helpful tool in branched endovascular aortic repair. It saves time, radiation, and materials; no snare is needed, and it can be preloaded into a sheath.",
keywords = "Aged, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Endovascular Procedures/instrumentation, Female, Humans, Stents, Suture Techniques, Treatment Outcome, Vascular Access Devices",
author = "Giuseppe Panuccio and Fiona Rohlffs and Vladimir Makaloski and Ahmed Eleshra and Nikolaos Tsilimparis and Tilo K{\"o}lbel",
year = "2019",
month = dec,
doi = "10.1177/1526602819871931",
language = "English",
volume = "26",
pages = "805--809",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "6",

}

RIS

TY - JOUR

T1 - Through-and-Through Suture Technique to Stabilize a Sheath in Branched Endovascular Aortic Repair

AU - Panuccio, Giuseppe

AU - Rohlffs, Fiona

AU - Makaloski, Vladimir

AU - Eleshra, Ahmed

AU - Tsilimparis, Nikolaos

AU - Kölbel, Tilo

PY - 2019/12

Y1 - 2019/12

N2 - Purpose: To describe a technique to catheterize antegrade branches of a branched thoracoabdominal endograft from a femoral access with the help of standard sheaths and a vascular suture. Technique: The technique is demonstrated in a patient who underwent successful complex thoracoabdominal branched endovascular aortic repair. After the deployment of an aortic endograft with two antegrade branches for the targeted renovisceral vessels, a standard braided sheath was preloaded with a 3/0 polypropylene suture and introduced inside an additional sheath from the groin to the thoracic aorta. Simultaneous gentle traction on the suture as the preloaded sheath was advanced achieved a very stable 180° curve of the proximal end of the sheath. It was possible to selectively catheterize the antegrade branches and respective target vessels sequentially, as well as deploy the planned bridging stents for each branch. Conclusion: The through-and-through suture technique is a helpful tool in branched endovascular aortic repair. It saves time, radiation, and materials; no snare is needed, and it can be preloaded into a sheath.

AB - Purpose: To describe a technique to catheterize antegrade branches of a branched thoracoabdominal endograft from a femoral access with the help of standard sheaths and a vascular suture. Technique: The technique is demonstrated in a patient who underwent successful complex thoracoabdominal branched endovascular aortic repair. After the deployment of an aortic endograft with two antegrade branches for the targeted renovisceral vessels, a standard braided sheath was preloaded with a 3/0 polypropylene suture and introduced inside an additional sheath from the groin to the thoracic aorta. Simultaneous gentle traction on the suture as the preloaded sheath was advanced achieved a very stable 180° curve of the proximal end of the sheath. It was possible to selectively catheterize the antegrade branches and respective target vessels sequentially, as well as deploy the planned bridging stents for each branch. Conclusion: The through-and-through suture technique is a helpful tool in branched endovascular aortic repair. It saves time, radiation, and materials; no snare is needed, and it can be preloaded into a sheath.

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 - Stents

KW - Suture Techniques

KW - Treatment Outcome

KW - Vascular Access Devices

U2 - 10.1177/1526602819871931

DO - 10.1177/1526602819871931

M3 - SCORING: Journal article

C2 - 31455136

VL - 26

SP - 805

EP - 809

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 6

ER -