Abstract
The availability of large diameter stent-grafts is now allowing the endovascular treatment of thoracic aortic aneurysms. Most aneurysms are closely related to the distal arch and it is thus necessary to pass the delivery systems into the arch to effectively cover the proximal neck. Even with extra-stiff guidewires in position, it may still be difficult to achieve this, as a result of tortuosity at the iliac arteries and the aorta. We detail a technique where a stiff guidewire is passed from a brachial entry point through the aorta and out at the femoral arteriotomy site. This allows extra-support and may enable the delivery system to be passed further into the aortic arch than it could with just the regular guidewire position.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP (1994) Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 331:1729–1734
Mitchell RS, Dake MD, Semba CP, Fogarty TJ, Zarins CK, Liddel RP, Miller DC (1996) Endovascular stent-graft repair of thoracic aortic aneurysms. J Thoracic Cardiovasc Surg 111:1054–1062
Kato N, Dake MD, Miller DC, Semba CP, Mitchell RS, Razavi MK, Kee ST (1997) Traumatic thoracic aortic aneurysm: Treatment with endovascular stent-grafts. Radiology 205:657–662
Farm JI, Dake MD, Semba P, Liddell RP, Pfeffer TA, Miller DC (1995) Endovascular stent-grafting after arch aneurysm repair using the “elephant trunk.” Ann Thorac Surg 60:1102–1105
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Al Shammari, M., Taylor, P. & Reidy, J.F. Use of through-and-through guidewire for delivering large stent-grafts into the distal aortic arch. Cardiovasc Intervent Radiol 23, 237–238 (2000). https://doi.org/10.1007/s002700010053
Issue Date:
DOI: https://doi.org/10.1007/s002700010053