Off-label use of the Gore Excluder iliac branch endoprosthesis in association with the Rotarex S catheter to achieve total endovascular recanalization of an occluded aortobifemoral bypass

Off-label use of the Gore Excluder iliac branch endoprosthesis in association with the Rotarex S catheter to achieve total endovascular recanalization of an occluded aortobifemoral bypass

We describe a successful case of hybrid revascularization of a totally occluded aortobifemoral bypass with retrograde use of the Rotarex S catheter (BD) and complete relining with a Gore Excluder iliac branch endoprosthesis (W.L. Gore & Associates). The repair procedure was performed with fe...

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Hlavní autoři: Andrea Maria Terpin, MD, Luigi Baccani, MD, Gianbattista Parlani, MD, Giacomo Isernia, MD, PhD, Gianluigi Fino, MD, Gioele Simonte, MD, PhD
Médium: Článek
Jazyk:English
Vydáno: Elsevier 2023-09-01
Edice:Journal of Vascular Surgery Cases and Innovative Techniques
Témata:
Aortic occlusion
Aortoiliac
Athero-thrombectomy
Endovascular thrombectomy
Rotarex
On-line přístup:http://www.sciencedirect.com/science/article/pii/S2468428723001430
Popis
Shrnutí:We describe a successful case of hybrid revascularization of a totally occluded aortobifemoral bypass with retrograde use of the Rotarex S catheter (BD) and complete relining with a Gore Excluder iliac branch endoprosthesis (W.L. Gore & Associates). The repair procedure was performed with femoral surgical access and percutaneous brachial access. Despite left renal artery endoclamping, after the final angiography, deployment of a covered stent in the left renal artery was needed because of residual thrombotic material at the vessel ostium. The procedure was completed with reconstruction using a common femoral artery Dacron graft and bilateral complete iliac surgical branch relining using self-expanding covered stents, with recovery of distal pulses.
ISSN:2468-4287

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