A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm.

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A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm repair  Jason K. Kim, MD, Robert E. Noll, MD, Britt H. Tonnessen, MD, W. Charles Sternbergh, MD  Journal of Vascular Surgery  Volume 48, Issue 3, Pages 755-757 (September 2008) DOI: 10.1016/j.jvs.2008.05.023 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig Diagram sequence of the modified deployment technique of a “giant” Palmaz stent in the peri-renal aorta for repair of type IA endoleak. The white dotted line represents the previously placed covered stent graft for endovascular aneurysm repair. Details of the covered stent graft have been omitted from this illustration for clarity of imaging of the “giant” Palmaz stent device. (A) The stent loaded off-center on the balloon is positioned at the intended area of deployment through the sheath under fluoroscopic guidance. (B) The sheath is partially retracted and the balloon is insufflated, deploying the proximal (cranial) portion of the stent. (C) Fully deployed stent. Journal of Vascular Surgery 2008 48, 755-757DOI: (10.1016/j.jvs.2008.05.023) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions