Conduit-Free Retroperitoneal Access to the Iliac Artery in Endovascular Aortic Repair in Patients with Improper Access Vessels. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Pirouzram, Artai; Hörer, Tal Martin; Larzon, Thomas
• Is Part Of: Innovations. Volume 11:Issue 2(2016)
• Page Start: 150
• Page End: 153
• Publication Date: 2016-03
• Subjects: Access -- Aortic aneurysm -- EVAR -- TEVAR -- Iliac conduit; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1177/155698451601100214
• Languages: English
• ISSNs: 1556-9845

Abstract

Successful endovascular aortic repair is highly dependent on the quality of the iliac access vessels. Patients with poor access vessels can be turned down from endovascular aortic repair or thoracic endovascular aortic repair by the treating physician. Perioperative complications such as failure to deliver the device or iliac rupture can be addressed to improper access vessels. In this article, we describe a novel technique to access the common iliac artery when access vessels are poor in diameter or quality. This sutureless conduit-free access technique can be used in TEVAR or EVAR and requires less surgical exposure of the iliac arteries.