TY - JOUR
T1 - The upside down Gore Excluder contralateral leg without extracorporeal predeployment for aortic or iliac aneurysm exclusion
AU - van der Steenhoven, Tim J.
AU - Heyligers, Jan M. M.
AU - Tielliu, Ignace F. J.
AU - Zeebregts, Clark J.
PY - 2011/6
Y1 - 2011/6
N2 - Endovascular techniques, including branched devices to preserve the internal iliac artery are evolving rapidly, but in cases in which the diameter of the proximal sealing zone is larger than that of the distal sealing zone, a reversed tapered device is needed. We describe the off label use of the Gore Excluder contralateral leg endoprosthesis in an upside down configuration to accommodate this diameter mismatch. The preinsertion technical steps of stent graft preparation, which do not require extracorporeal predeployment, are described in detail. As such, an aneurysm of the internal iliac artery and a saccular abdominal aortic aneurysm were successfully excluded. (J Vase Surg 2011;53:1738-41.)
AB - Endovascular techniques, including branched devices to preserve the internal iliac artery are evolving rapidly, but in cases in which the diameter of the proximal sealing zone is larger than that of the distal sealing zone, a reversed tapered device is needed. We describe the off label use of the Gore Excluder contralateral leg endoprosthesis in an upside down configuration to accommodate this diameter mismatch. The preinsertion technical steps of stent graft preparation, which do not require extracorporeal predeployment, are described in detail. As such, an aneurysm of the internal iliac artery and a saccular abdominal aortic aneurysm were successfully excluded. (J Vase Surg 2011;53:1738-41.)
KW - STENT-GRAFT
KW - MANAGEMENT
KW - LIMB
U2 - 10.1016/j.jvs.2010.11.108
DO - 10.1016/j.jvs.2010.11.108
M3 - Article
VL - 53
SP - 1738
EP - 1741
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
SN - 0741-5214
IS - 6
ER -