Dual guidewire placement to enhance arch vessel origin identification: A simple technique to facilitate ostial aortic arch vessel stenting Nasim Hedayati,

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Presentation transcript:

Dual guidewire placement to enhance arch vessel origin identification: A simple technique to facilitate ostial aortic arch vessel stenting Nasim Hedayati, MD, Panagiotis Kougias, MD, Hosam F. El Sayed, MD, Wei Zhou, MD, Tam T. Huynh, MD, Peter H. Lin, MD Journal of Vascular Surgery Volume 46, Issue 6, Pages 1274-1276 (December 2007) DOI: 10.1016/j.jvs.2007.07.019 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig A, An antegrade femoral guidewire (single white arrow) is positioned around the outer curve of the aortic arch, which delineates the origin of arch branch vessels. A left brachial guidewire (double white arrow) is positioned in the descending thoracic aorta. The crossing point of these two guidewires (black arrow) denotes the junction of the aortic arch and the origin of the left subclavian artery. B, On the basis of the crossing point of these two guidewires, a balloon-expandable stent is delivered and positioned at the origin of the left subclavian artery. C, Deployment of the balloon-expandable stent can be performed precisely at the origin of the subclavian artery based on the dual guidewire junction (black arrow). Journal of Vascular Surgery 2007 46, 1274-1276DOI: (10.1016/j.jvs.2007.07.019) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions