Journal
JOURNAL OF VASCULAR SURGERY CASES AND INNOVATIVE TECHNIQUES
Volume 6, Issue 2, Pages 288-291Publisher
ELSEVIER
DOI: 10.1016/j.jvscit.2020.03.014
Keywords
Thoracoabdominal aortic aneurysm; Endovascular treatment; Branched stent graft; Steerable sheath
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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.
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