Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu.

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Presentation transcript:

Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu M. Han, MD, Anuj Mahajan, MD, Sung W. Ham, MD, William Lee, MD, Vincent L. Rowe, MD, Fred A. Weaver, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 3, Pages 68-72 (September 2016) DOI: 10.1016/j.jvsc.2016.01.005 Copyright © 2016 The Authors Terms and Conditions

Fig 1 A 6.5-cm juxtarenal abdominal aortic aneurysm with caudally angulated renal arteries (a), high-grade stenosis of the right renal artery (b), and moderate stenosis of the proximal right common iliac artery (c). Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 68-72DOI: (10.1016/j.jvsc.2016.01.005) Copyright © 2016 The Authors Terms and Conditions

Fig 2 a, The renal artery was predilated to 4 mm through the transbrachial approach, and a 0.018-inch flexible wire was left in place. The fenestrated main body was unsheathed, maintaining the top cap constraint. b, The partially constrained scallop was traversed with a transfemoral robotic catheter, and body floss was established by capturing the femoral artery with the transbrachial snare above the main body. c, The transbrachial sheath was guided through the scallop, toward the right renal fenestration over the body-floss wire. d, The renal artery was cannulated with the transbrachial sheath, then the left renal artery was cannulated with the transfemoral robotic sheath. e, The fenestrated main body was completely deployed and molded using a kissing balloon technique. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 68-72DOI: (10.1016/j.jvsc.2016.01.005) Copyright © 2016 The Authors Terms and Conditions

Fig 3 Completion angiography showing complete exclusion of the aneurysm with patent bilateral renal artery stents. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 68-72DOI: (10.1016/j.jvsc.2016.01.005) Copyright © 2016 The Authors Terms and Conditions