Single access physician-modified fenestrated branched endovascular aortic repair for post-dissection thoracoabdominal aortic aneurysm with unilateral iliac occlusion

Kenneth Han; Herbert James, III; Alyssa Pyun; Jason Hong; Jacquelyn Paige; Sukgu Han

Annals of Vascular Surgery - Brief Reports and Innovations (Sep 2024)

Single access physician-modified fenestrated branched endovascular aortic repair for post-dissection thoracoabdominal aortic aneurysm with unilateral iliac occlusion

Kenneth Han,
Herbert James, III,
Alyssa Pyun,
Jason Hong,
Jacquelyn Paige,
Sukgu Han

Affiliations

Kenneth Han: Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA
Herbert James, III: Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA
Alyssa Pyun: Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA
Jason Hong: Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA
Jacquelyn Paige: Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA
Sukgu Han: Corresponding author at: Professor of Surgery and Neurological Surgery, Chief, Division of Vascular Surgery and Endovascular Therapy, Program Director, Vascular Surgery Fellowship and Residency, Co-director, Aortic Center, Keck Medical Center of University of Southern California, 1520 San Pablo St, Los Angeles, CA 90033, USA.; Comprehensive Aortic Center, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA

Journal volume & issue: Vol. 4, no. 3
p. 100327

Abstract

Read online

Fenestrated Branched Endovascular Aortic Repair (FBEVAR) typically requires placement of large sheaths into bilateral femoral arteries. However, for patients with hostile iliofemoral arteries due to small caliber, severe occlusive disease, or high tortuosity, various endovascular and open adjunctive techniques have been described. Here, we describe a case in which a femoral conduit was utilized to enable FBEVAR through a single access point, adding to the armamentarium of adjunctive access techniques.

Published in Annals of Vascular Surgery - Brief Reports and Innovations

ISSN: 2772-6878 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system; Medicine: Surgery
Website: https://www.sciencedirect.com/journal/annals-of-vascular-surgery-brief-reports-and-innovations

About the journal

Abstract

Keywords