Common iliac artery access during endovascular thoracic aortic repair facilitated by a transabdominal wall tunnel.
J Endovasc Ther
; 8(2): 135-8, 2001 Apr.
Article
in En
| MEDLINE
| ID: mdl-11357972
ABSTRACT
PURPOSE:
To describe a technique for common iliac artery (CIA) access during endovascular aortic aneurysm repair when unfavorable angulation between the CIA and the delivery sheath precludes direct arterial access. TECHNIQUE After retroperitoneal exposure of the CIA, a puncture site is chosen inferolateral to the surgical incision, and an 18-G trocar/cannula is advanced in alignment with the CIA through the anterior abdominal wall or skin of the upper thigh into the retroperitoneal space. Serial dilatation is performed over a guidewire placed through the cannula to create the subcutaneous tract. The trocar/cannula is replaced over the wire, and the CIA is punctured under direct vision. The guidewire is then advanced into the proximal aorta. A CIA arteriotomy is performed and the delivery system introduced over the guidewire through the tunnel into the iliac artery.CONCLUSIONS:
Retroperitoneal exposure of the CIA with tunneled transabdominal wall delivery of the stent-graft avoids both external iliac artery injury and creation of a temporary access conduit in patients with iliac tortuosity and/or occlusive disease.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta, Thoracic
/
Vascular Surgical Procedures
/
Abdominal Muscles
/
Iliac Artery
Limits:
Humans
Language:
En
Journal:
J Endovasc Ther
Journal subject:
ANGIOLOGIA
Year:
2001
Document type:
Article
Affiliation country:
Reino Unido