Wang S Keisin, Miladore Julia N, Yee Elliott J, Liao Jane L, Donde Nikunj N, Motaganahalli Raghu L
Division of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind.
J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):305-309. doi: 10.1016/j.jvscit.2019.03.007. eCollection 2019 Sep.
This article describes brachial access to position a long sheath in the abdominal aorta in conjunction with a large caliber sheath via the femoral artery ipsilateral to the target site to deliver a 0.018 bodyfloss wire. This bodyfloss wire is inserted into the precannulation port of the iliac branch endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz), which is then advanced from the groin. Once the bifurcated device is deployed, hypogastric access and stenting is achieved from the upper extremity. This technique is an alternative to safely extend the distal seal while preserving the hypogastric artery and has the advantage of limited iliac bifurcation manipulation.
本文介绍了通过肱动脉途径在腹主动脉中放置长鞘管，并结合使用大口径鞘管经与目标部位同侧的股动脉来输送0.018英寸的体丝线。将该体丝线插入髂支内支架（W.L.戈尔公司，亚利桑那州弗拉格斯塔夫）的预插管端口，然后从腹股沟推进。一旦分叉装置展开，即可从上肢进行腹下动脉通路建立和支架置入。该技术是在保留腹下动脉的同时安全延长远端密封的一种替代方法，并且具有减少髂动脉分叉操作的优点。
