Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Slides:

Advertisements

Similar presentations

Ravi K. Ghanta, MD, John A. Kern, MD

Advertisements

James H. Black, MD, Richard P. Cambria, MD Journal of Vascular Surgery

Osvaldo J. Yano, MD, Peter L

Human transluminally placed endovascular stented grafts: Preliminary histopathologic analysis of healing grafts in aortoiliac and femoral artery occlusive.

Endovascular aortounifemoral grafts and femorofemoral bypass for bilateral limb- threatening ischemia Takao Ohki, MD, Michael L. Marin, MD, Frank J. Veith,

Aorto-caval fistula from acute rupture of an abdominal aortic aneurysm treated with a hybrid approach Matthias Siepe, MD, Sabrina Koeppe, MD, Wulf Euringer,

Preloaded guidewires to facilitate endovascular repair of thoracoabdominal aortic aneurysm using a physician-modified branched stent graft Gustavo S.

Ravi K. Ghanta, MD, John A. Kern, MD

Carlos F. Bechara, MD, Suman Annambhotla, MD, Peter H. Lin, MD

Endovascular Treatment of Acute Descending Thoracic Aortic Dissections

Technique for obtaining proximal intraluminal control when arteries are inaccessible or unclampable because of disease or calcification Frank J. Veith,

Endovascular techniques for arch vessel reconstruction

Brian G. Peterson, MD, Jon S. Matsumura, MD

Totally videoendoscopic descending thoracic aorta-to-femoral artery bypass Sumio Fukui, MD, Nikolaos Paraskevas, MD, Patrick Soury, MD, Frédéric Gigou,

Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain,

Visceral vessel relocation techniques

Combined surgical and endovascular treatment of aortic arch aneurysms

Aortic dissection: Perspectives in the era of stent-graft repair

Peyman Benharash, MD, Jason T. Lee, MD, Oscar J

Thoracic endovascular aortic repair with the chimney graft technique

A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm.

Endovascular repair of thoracoabdominal aortic aneurysm using the off-the-shelf multibranched t-Branch stent graft Bernardo C. Mendes, MD, Gustavo S.

Distal True Lumen Compression After Thoracic Endovascular Repair for Aortic Dissection Treated With Endovascular Fenestration David J. O'Connor, MD,

Michael L. Marin, MD, Frank J. Veith, MD, Thomas F

Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts Robert M. Van Haren,

Karan Garg, MD, Todd L. Berland, MD, Frank J. Veith, MD, Neal S

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Stent-Grafting of the Thoracic Aorta by the Cardiothoracic Surgeon

Gary R. Seabrook, MD Journal of Vascular Surgery

Endovascular native vessel recanalization to maintain limb perfusion after infected prosthetic vascular graft excision Victor Z. Erzurum, MD, Dan Clair,

In situ fenestration in the aortic arch

Thoracic endovascular aortic repair: The basics

Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms Mark Edward O’Donnell, DSEM, MRCS, Stephen A. Badger,

Infected aneurysm of the thoracic aorta

Ricardo Yoshida, MD, Ralf R

Christopher P. Twine, MD, FRCS, Ian F. Lane, MD, FRCS, Ian M

Totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta Sumio Fukui, MD, Frédéric Gigou, MD, Mazda.

Results of a double-barrel technique with commercially available devices for hypogastric preservation during aortoilac endovascular abdominal aortic aneurysm.

Timothy A.M. Chuter, DM Journal of Vascular Surgery

Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft Gustavo S. Oderich, MD, Mateus.

Thomas S. Monahan, MD, Timothy A. M. Chuter, MD, Linda M

Retrograde popliteal approach for challenging occlusions of the femoral-popliteal arteries Meng Ye, PhD, MD, Hao Zhang, MD, PhD, Xiaozhong Huang, MD,

Early endovascular grafts at Montefiore Hospital and their effect on vascular surgery Frank J. Veith, MD, Jacob Cynamon, MD, Claudio J. Schonholz, MD,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: Case report and review of literature Naritatsu.

Conduits and endoconduits, percutaneous access

Dual guidewire placement to enhance arch vessel origin identification: A simple technique to facilitate ostial aortic arch vessel stenting Nasim Hedayati,

Philippe Piquet, MD, Philippe Amabile, MD, Gilles Rollet, MD

Aorto-caval fistula from acute rupture of an abdominal aortic aneurysm treated with a hybrid approach Matthias Siepe, MD, Sabrina Koeppe, MD, Wulf Euringer,

Real chimney technique for total debranching of supra-aortic trunks

Comparison of fenestrated endografts and the snorkel/chimney technique

Spinal cord ischemia after endovascular repair of thoracoabdominal aortic aneurysms with fenestrated and branched stent grafts Athanasios Katsargyris,

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

Juan Carlos Jimenez, MD, Wesley S. Moore, MD, William J

Athanasios Tsiouris, MD, Sherif Elkinany, MD, Bulat A

Local anesthesia for endovascular abdominal aortic aneurysm repair

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

Mark A. Farber, MD, Robert R. Mendes, MD Journal of Vascular Surgery

Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: A report of two cases Judith C. Lin, MD, Ralf Kolvenbach,

Jade S. Hiramoto, MD, Catherine K. Chang, MD, Linda M

Feasibility of the Inoue single-branched stent-graft implantation for thoracic aortic aneurysm or dissection involving the left subclavian artery: Short-

Balloon expandable stents facilitate right renal artery reconstruction during complex open aortic aneurysm repair Rajendra Patel, MD, Mark F. Conrad,

Long-term dilatation of polyester and expanded polytetrafluoroethylene tube grafts after open repair of infrarenal abdominal aortic aneurysms Peter L.

Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Ioannis Prionidis, MD, Tom F. Browne Journal of Vascular Surgery

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Combined transbrachial and transfemoral strategy to deploy an iliac branch endoprosthesis in the setting of a pre-existing endovascular aortic aneurysm.

Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta Mehmet C. Oz, MD *,

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Techniques for large sheath insertion during endovascular thoracic aortic aneurysm repair Shane S. Parmer, MD, Jeffrey P. Carpenter, MD Journal of Vascular Surgery Volume 43, Issue 2, Pages A62-A68 (February 2006) DOI: 10.1016/j.jvs.2005.10.063 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Balloon angioplasty of the external iliac artery is performed via a femoral arteriotomy. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 A ringed stripper is passed through the arteriotomy to further define the dissection plane. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 The dissected atheromatous plaque, including the intima and inner media, is removed with a clamp. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Upon completion of the stent graft procedure residual disease within the common iliac artery is treated with a stent and the arteriotomy is closed. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 Incision placement for retroperitoneal exposure of the common iliac artery or distal aorta. Only the surface of the access vessel needs to be exposed. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 6 Placement of a double pursestring suture in the access vessel. Each of the concentric purse strings is constructed of 4-0 polytetrafluoroethylene-impregnated polyester suture for native vessels and 2-0 polypropylene sutures for Dacron graft initiated on opposite sides of the vessel and held by rubber tourniquets. The artery is punctured in the center of the purse string and a guidewire is inserted and manipulated into the proximal aorta. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 7 Sheath placement. The sheath with its tapered dilator is placed over the stiff wire and fluoroscopically guided into the common iliac artery or aorta. The tourniquets can be used to control any puncture site bleeding around the sheath. All further exchanges occur through the sheath with its hemostatic valve. Sheath removal is accomplished with simultaneous traction on both purse-string sutures to relieve tension on the puncture and maintain hemostasis while the sutures are sequentially tied. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 8 Avulsed external iliac artery after deployment of the endovascular stent graft. Journal of Vascular Surgery 2006 43, A62-A68DOI: (10.1016/j.jvs.2005.10.063) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions