• Ann Vasc Surg · Nov 2002

    Review

    Delivery of endovascular grafts by direct sheath placement into the aorta or iliac arteries.

    • Jeffrey P Carpenter.
    • Department of Surgery, University of Pennsylvania School of Medicine, 4 Silverstein HUP, 3400 Spruce Street, Philadelphia, PA 19104, USA. jeffrey.carpenter@uphs.upenn.edu
    • Ann Vasc Surg. 2002 Nov 1;16(6):787-90.

    AbstractDelivery of endovascular grafts via femoral access in patients with iliac arterial tortuosity or occlusive disease can be problematic. Aortomonoiliac grafts or arterial conduits sewn to proximal iliac arteries through an abdominal incision have been used as alternatives. A technique is described in which the proximal access vessel, aorta or iliac artery, is punctured directly and a large sheath inserted, through which the endovascular graft may be delivered. Hemostasis is achieved by use of a superficially placed concentric double purse-string suture. The technique has been employed successfully for placement of both thoracic and abdominal endografts.

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