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 (2018). Use of a Steerable Sheath for Retrograde Access to Antegrade Branches in Branched Stent-Graft Repair of Complex Aortic Aneurysms. Journal of endovascular therapy, 25(5), pp. 566-570. Sage 10.1177/1526602818794965

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Makaloski, Vladimir

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1526-6028

Publisher:

Sage

Language:

English

Submitter:

Daniela Huber

Date Deposited:

09 Jan 2019 10:14

Last Modified:

23 Oct 2019 18:28

Publisher DOI:

10.1177/1526602818794965

PubMed ID:

30079785

Uncontrolled Keywords:

Endograft endovascular aortic repair femoral access renovisceral arteries retrograde access steerable sheath thoracoabdominal aortic aneurysm transfemoral access

BORIS DOI:

10.7892/boris.123103

URI:

https://boris.unibe.ch/id/eprint/123103

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