Browsing by Subject "Iliac branch endoprosthesis"

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    Combined transbrachial and transfemoral strategy to deploy an iliac branch endoprosthesis in the setting of a pre-existing endovascular aortic aneurysm repair
    (Elsevier, 2019-06-29) Wang, S. Keisin; Miladore, Julia N.; Yee, Elliott J.; Liao, Jane L.; Donde, Nikunj N.; Motaganahalli, Raghu L.; Surgery, School of Medicine
    This article describes brachial access to position a long sheath in the abdominal aorta in conjunction with a large caliber sheath via the femoral artery ipsilateral to the target site to deliver a 0.018 bodyfloss wire. This bodyfloss wire is inserted into the precannulation port of the iliac branch endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz), which is then advanced from the groin. Once the bifurcated device is deployed, hypogastric access and stenting is achieved from the upper extremity. This technique is an alternative to safely extend the distal seal while preserving the hypogastric artery and has the advantage of limited iliac bifurcation manipulation.
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    Treatment of a traumatic aortic bifurcation injury with an iliac branch endoprosthesis
    (Elsevier, 2020-04-23) Wang, S. Keisin; Motaganahalli, Raghu L.; Maijub, John G.; Sawchuk, Alan P.; Surgery, School of Medicine
    We present the case of a 62-year-old man who sustained a traumatic distal aortic injury associated with an adjacent lumbar vertebral body fracture resulting from a 20-ft fall. Given the site of injury, an iliac artery branched endograft was deployed off-label to preserve the aortic bifurcation and cover a limited amount of healthy aorta to preserve the collaterals. The procedure was successful, with no intraoperative complications or evidence of an endoleak. The aortic bifurcation and distal iliac arteries remained widely patent by computed tomography angiography at the follow-up examination without evidence of sequelae.