Improved stability of steerable sheath access by femoro-femoral crossover wire in branched stent graft repair of complex thoraco-abdominal aortic aneurysms.

ABSTRACT:

Purpose

The purpose of this study was to describe a technique to catheterize antegrade branches of a branched aortic endograft by using a steerable sheath stabilized by a through-and-through wire via a femoral access.

Technique

After implantation of a branched endovascular graft, a steerable 8.5 F sheath is advanced from the femoral access. After placing the sheath proximal to the branches, a 0.014″ through-and-through wire is established to the contralateral femoral access which is held under slight traction after the curved tip of the sheath is brought into the 180° position. Then catheterization, wire exchange and deployment of the bridging stent is done in standard fashion.

Conclusion

The use of a through-and-through wire with a steerable sheath for retrograde fem

SUBMITTER: Topel I 

PROVIDER: S-EPMC7798303 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature