A modified technique for Gore Excluder limb deployment in difficult iliac anatomy during endovascular abdominal aortic aneurysm repair

• Published in: Vascular Vol. 23; no. 1; p. 78
• Main Authors: Vourliotakis, George, Katsargyris, Αthanasios, Tielliu, Ignace F J, Zeebregts, Clark J, Verhoeven, Eric L G
• Format: Journal Article
• Language: English
• Published: England 01-02-2015
• Subjects: Angiography, Digital Subtraction; Aorta, Abdominal - diagnostic imaging; Aorta, Abdominal - surgery; Aortic Aneurysm, Abdominal - diagnosis; Aortic Aneurysm, Abdominal - surgery; Aortography - methods; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - instrumentation; Endovascular Procedures - instrumentation; Humans; Iliac Artery - diagnostic imaging; Prosthesis Design; Stents; Treatment Outcome; Vascular Access Devices; tortuous iliac artery; Gore Excluder limb graft; endovascular repair; abdominal aortic aneurysm
• ISSN: 1708-5381
• DOI: 10.1177/1708538114529277

Complex iliac anatomy including extreme tortuosity constitutes a relative contraindication for endovascular abdominal aortic aneurysm repair with additional risk of limb-graft occlusion. The Gore Excluder limb-graft is a flexible stent-graft, which adapts easily to iliac tortuosity. Nevertheless, the presence of the stiff guide wire does not always allow for an ideal apposition of the stent graft to the angulated common iliac artery vessel wall. We describe herein a modified technique for Gore Excluder limb-graft deployment with partial removal of the stiff wire in cases with difficult tortuous or narrow iliac arteries during endovascular abdominal aortic aneurysm repair.