The purpose of this article is to describe the techniques used to deploy a Gore® Excluder® abdominal aortic aneurysm (AAA) and iliac branch endoprosthesis (IBE) in a short aortoiliac anatomy, expanding treatment options of a patient otherwise unfit for endovascular repair. Four strategies were used to shorten the total length of the components, achieving a reduction of over 3 cm during deployment: a pull-pull technique on a through-and-through guidewire to accommodate the IBE onto the iliac bifurcation, deployment in a “cross-limb” configuration, foreshortening of the iliac bridging component during release, and final proximal shortening of the AAA main body thanks to the C3 repositionable delivery system.
Technical Tips for the Implantation of the Gore® Excluder® Abdominal Aortic Aneurysm and Iliac Branch Endoprosthesis in Short Aortoiliac Anatomies
Melissano G.;Chiesa R.;Kahlberg A.
2019-01-01
Abstract
The purpose of this article is to describe the techniques used to deploy a Gore® Excluder® abdominal aortic aneurysm (AAA) and iliac branch endoprosthesis (IBE) in a short aortoiliac anatomy, expanding treatment options of a patient otherwise unfit for endovascular repair. Four strategies were used to shorten the total length of the components, achieving a reduction of over 3 cm during deployment: a pull-pull technique on a through-and-through guidewire to accommodate the IBE onto the iliac bifurcation, deployment in a “cross-limb” configuration, foreshortening of the iliac bridging component during release, and final proximal shortening of the AAA main body thanks to the C3 repositionable delivery system.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
