Stabilization of a steerable sheath during retrograde access to antegrade-oriented branches in complex endovascular aortic aneurysm repair

Charlotte C. Lemmens, Barend M. E. Mees, Michiel W. de Haan, Geert Willem H. Schurink*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Web of Science)


During branched endovascular aneurysm repair, cannulation of the visceral target vessels through antegrade branches and insertion of bridging stents are frequently done from an upper extremity access. A retrograde femoral approach is a challenging alternative when an antegrade approach is not preferred. Herein, we describe a technique to increase stability of a steerable sheath, using a single suture, for bridging antegrade-facing branches from a retrograde access. This technique secures the sheath's deflected tip and provides more pushability to the steerable sheath.

Original languageEnglish
Pages (from-to)288-291
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Issue number2
Publication statusPublished - Jun 2020


  • Thoracoabdominal aortic aneurysm
  • Endovascular treatment
  • Branched stent graft
  • Steerable sheath

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