Purpose: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator. Technique: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm. She was treated with a fenestrated Zenith stent-graft that had a catheter-preloaded fenestration for the left subclavian artery (LSA) and a scallop for the left common carotid artery. To avoid through-and-through wire and brachial access, the LGF was used to secure the guidewire in the LSA during stent-graft deployment. Conclusion: The use of an LGF for anchoring in the target LSA during fenestrated arch endografting was feasible and safe.
CITATION STYLE
Kölbel, T., Bosaeus, L., Tsilimparis, N., Heidemann, F., Rohlffs, F., & Liungman, K. (2018). Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels. Journal of Endovascular Therapy, 25(1), 40–46. https://doi.org/10.1177/1526602817744344
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