Premium
Thoracic aneurysm repair: Managing severe tortuosity with brachiofemoral traction
Author(s) -
Lioupis Christos,
Medda Massimo,
Inglese Luigi
Publication year - 2007
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21298
Subject(s) - medicine , tortuosity , traction (geology) , thoracic aorta , thoracic aortic aneurysm , aneurysm , aorta , surgery , stent , radiology , aortic aneurysm , geotechnical engineering , geomorphology , porosity , engineering , geology
Challenging anatomy of the thoracic aorta is often encountered, and aortic tortuosity may be a major impediment to the propulsion of the stent‐graft. Traction on both ends of a guidewire, with one end exiting the right upper extremity and the other end exiting the lower extremity, is an excellent option to manage thoracic aorta tortuosity. Careful application of simple guidelines may lessen associated risks and improve safety. © 2007 Wiley‐Liss, Inc.