TY - JOUR
T1 - Stabilization of a steerable sheath during retrograde access to antegrade-oriented branches in complex endovascular aortic aneurysm repair
AU - Lemmens, Charlotte C.
AU - Mees, Barend M. E.
AU - de Haan, Michiel W.
AU - Schurink, Geert Willem H.
N1 - Publisher Copyright:
© 2020 The Author(s)
PY - 2020/6
Y1 - 2020/6
N2 - 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.
AB - 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.
KW - Thoracoabdominal aortic aneurysm
KW - Endovascular treatment
KW - Branched stent graft
KW - Steerable sheath
U2 - 10.1016/j.jvscit.2020.03.014
DO - 10.1016/j.jvscit.2020.03.014
M3 - Article
C2 - 32566807
SN - 2468-4287
VL - 6
SP - 288
EP - 291
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
IS - 2
ER -