Single access covered endovascular reconstruction of the aortic bifurcation

Jose I. Torrealba, MD; Erwin Blessing, MD, PhD; Fiona Rohlffs, MD, PhD; Giuseppe Panuccio, MD, PhD; Sebastian Carpenter, MD; Tilo Kölbel, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2023)

Single access covered endovascular reconstruction of the aortic bifurcation

Jose I. Torrealba, MD,
Erwin Blessing, MD, PhD,
Fiona Rohlffs, MD, PhD,
Giuseppe Panuccio, MD, PhD,
Sebastian Carpenter, MD,
Tilo Kölbel, MD, PhD

Affiliations

Jose I. Torrealba, MD: Correspondence: Jose I. Torrealba, MD, German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Martinistraße 52, Hamburg 20246, Germany; German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
Erwin Blessing, MD, PhD: German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
Fiona Rohlffs, MD, PhD: German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
Giuseppe Panuccio, MD, PhD: German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
Sebastian Carpenter, MD: German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
Tilo Kölbel, MD, PhD: German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany

Journal volume & issue: Vol. 9, no. 4
p. 101343

Abstract

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We describe the feasibility of covered endovascular reconstruction of the aortic bifurcation (CERAB) through a single femoral access and a steerable sheath. We present the technique, which we used for a patient with severe aortoiliac calcification and bilateral involvement of the common femoral artery. The patient underwent endarterectomy of the left common femoral artery plus CERAB with an aortic stent graft and bilateral covered stents for the common iliac artery with kissing dilatation with a steerable sheath using only left femoral access. CERAB can be performed using unilateral access with the aid of a steerable sheath, reducing the potential for access site complications.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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