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

Text 1526602818794965.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (656kB)

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.

Interest & Impact

Downloads

2 since deposited on 09 Jan 2019
0 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item