Tightrope Technique for facilitating complex endovascular aortic repair in patients with severely angulated neck

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dc.contributor.authorSpinosa, Michael D.en
dc.contributor.authorAdams, Joshua D.en
dc.date.accessioned2023-05-03T16:24:12Zen
dc.date.available2023-05-03T16:24:12Zen
dc.date.issued2022en
dc.date.updated2023-05-03T15:28:13Zen
dc.description.abstractAn 84-year-old presented with a large, symptomatic juxtarenal abdominal aortic aneurysm. Owing to severe angulation of the infrarenal neck, advancement of the distal bifurcated component caused dramatic lateral movement of the proximal physician-modified endovascular graft (PMEG) fenestrated device. This procedure risked aneurysm sac perforation and possible PMEG device displacement. To avoid this complication, the distal aspect of the PMEG device was tethered in place using endoscopic forceps to provide countertraction, similar to pulling a tightrope. This technique allowed for the uneventful placement of the distal bifurcated component without complication. This technique can overcome device placement challenges within an angulated aorta caused by large aneurysms.en
dc.description.versionPublished versionen
dc.format.extentPages 894-896en
dc.format.mimetypeapplication/pdfen
dc.identifier.issue4en
dc.identifier.urihttp://hdl.handle.net/10919/114901en
dc.identifier.volume8en
dc.language.isoenen
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.titleTightrope Technique for facilitating complex endovascular aortic repair in patients with severely angulated necken
dc.title.serialJournal of Vascular Surgery Cases, Innovations and Techniquesen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Surgeryen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Surgery/Cardiothoracic Surgeryen

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