Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Common iliac artery access during endovascular thoracic aortic repair facilitated by a transabdominal wall tunnel
Autore:
Macdonald, S; Byrne, D; Rogers, P; Moss, JG; Edwards, RD;
Indirizzi:
Gartnavel Gen Hosp, Intervent Radiol Univ, Glasgow F12 0YN, Lanark, Scotland Gartnavel Gen Hosp Glasgow Lanark Scotland F12 0YN 0YN, Lanark, Scotland Gartnavel Gen Hosp, Vasc Surg Unit, Glasgow F12 0YN, Lanark, Scotland Gartnavel Gen Hosp Glasgow Lanark Scotland F12 0YN 0YN, Lanark, Scotland
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 2, volume: 8, anno: 2001,
pagine: 135 - 138
SICI:
1526-6028(200104)8:2<135:CIAADE>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANEURYSM REPAIR; COMPLICATIONS;
Keywords:
endograft; vascular access; iliac stenosis; retroperitoneal exposure; iliac artery tortuosity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Macdonald, S Gartnavel Gen Hosp, Intervent Radiol Univ, 1053 Great WesternRd, Glasgow F12 0YN, Lanark, Scotland Gartnavel Gen Hosp 1053 Great Western Rd Glasgow Lanark Scotland F12 0YN
Citazione:
S. Macdonald et al., "Common iliac artery access during endovascular thoracic aortic repair facilitated by a transabdominal wall tunnel", J ENDOVAS T, 8(2), 2001, pp. 135-138

Abstract

Purpose: To describe a technique for common iliac artery (CIA) access during endovascular aortic aneurysm repair when unfavorable angulation between the CIA and the delivery sheath precludes direct arterial access. Technique: After retroperitoneal exposure of the CIA, a puncture site is chosen inferolateral to the surgical incision, and an 18-G trocar/cannula isadvanced in alignment with the CIA through the anterior abdominal wall or skin of the upper thigh into the retroperitoneal space. Serial dilatation is performed over a guidewire placed through the cannula to create the subcutaneous tract. The trocar/cannula is replaced over the wire, and the CIA ispunctured under direct vision. The guidewire is then advanced into the proximal aorta. A CIA arteriotomy is performed and the delivery system introduced over the guidewire through the tunnel into the iliac artery. Conclusions: Retroperitoneal exposure of the CIA with tunneled transabdominal wall delivery of the stent-graft avoids both external iliac artery injury and creation of a temporary access conduit in patients with iliac tortuosity and/or occlusive disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/21 alle ore 01:48:21