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, Vol. 25, No. 5, 10.2018, p. 566-570.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -