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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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723001430 |
| _version_ | 1797672700718612480 |
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| author | Andrea Maria Terpin, MD Luigi Baccani, MD Gianbattista Parlani, MD Giacomo Isernia, MD, PhD Gianluigi Fino, MD Gioele Simonte, MD, PhD |
| author_facet | Andrea Maria Terpin, MD Luigi Baccani, MD Gianbattista Parlani, MD Giacomo Isernia, MD, PhD Gianluigi Fino, MD Gioele Simonte, MD, PhD |
| author_sort | Andrea Maria Terpin, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T21:34:01Z |
| format | Article |
| id | doaj.art-975606018da8421a80080c3daf222f0a |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-11T21:34:01Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-975606018da8421a80080c3daf222f0a2023-09-27T04:43:43ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-09-0193101234Off-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 bypassAndrea Maria Terpin, MD0Luigi Baccani, MD1Gianbattista Parlani, MD2Giacomo Isernia, MD, PhD3Gianluigi Fino, MD4Gioele Simonte, MD, PhD5Unit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyCorrespondence: Luigi Baccani, MD, Unit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia Hospital, Piazzale Menghini 1, Perugia 06132, Italy; Unit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyUnit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyUnit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyUnit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyUnit of Vascular and Endovascular Surgery, Santa Maria Della Misericordia University Hospital, Perugia, ItalyWe 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.http://www.sciencedirect.com/science/article/pii/S2468428723001430Aortic occlusionAortoiliacAthero-thrombectomyEndovascular thrombectomyRotarex |
| spellingShingle | Andrea Maria Terpin, MD Luigi Baccani, MD Gianbattista Parlani, MD Giacomo Isernia, MD, PhD Gianluigi Fino, MD Gioele Simonte, MD, PhD 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 Journal of Vascular Surgery Cases and Innovative Techniques Aortic occlusion Aortoiliac Athero-thrombectomy Endovascular thrombectomy Rotarex |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Aortic occlusion Aortoiliac Athero-thrombectomy Endovascular thrombectomy Rotarex |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723001430 |
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