Brachial artery catheterization to facilitate endovascular grafting of abdominal aortic aneurysm: Safety and rationale Frank J. Criado, MDa, Eric P.

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Presentation transcript:

Brachial artery catheterization to facilitate endovascular grafting of abdominal aortic aneurysm: Safety and rationale Frank J. Criado, MDa, Eric P. Wilson, MDa, Omran Abul-Khoudoud, MDa, Clyde Barker, MDb, Jeffrey Carpenter, MDb, Ronald Fairman, MDb Journal of Vascular Surgery Volume 32, Issue 6, Pages 1137-1141 (December 2000) DOI: 10.1067/mva.2000.109335 Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Access across short contralateral limb has been achieved with the transbrachial approach. In this case, antegrade selective catheterization and coil embolization of the internal iliac artery was necessary in preparation for iliac-limb extension to the external iliac artery. Journal of Vascular Surgery 2000 32, 1137-1141DOI: (10.1067/mva.2000.109335) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A 5F catheter is always placed to minimize potential injury to the aortic arch and subclavian artery when tension is applied on the brachial-femoral guidewire. Journal of Vascular Surgery 2000 32, 1137-1141DOI: (10.1067/mva.2000.109335) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Brachial-femoral guidewire technique with the use of a 6F snare device from the left brachial site. The nitinol wire-loop snare is used to capture (a, b ) and stabilize the transfemoral wire to facilitate retrograde delivery of the AAA device and to overcome iliac tortuosity. Journal of Vascular Surgery 2000 32, 1137-1141DOI: (10.1067/mva.2000.109335) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Fluoroscopic illustration of brachial snare technique. Journal of Vascular Surgery 2000 32, 1137-1141DOI: (10.1067/mva.2000.109335) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions