In situ introducer sheath dilatation for complex aortic access.

Details

Serval ID
serval:BIB_7CCAB1B82912
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
In situ introducer sheath dilatation for complex aortic access.
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
von Segesser L.K., Marty B., Tozzi P.G., Corno A.
ISSN
1010-7940
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
22
Number
2
Pages
316-318
Language
english
Abstract
Aortic access problems due to diseased or small peripheral vessels are a major issue in endovascular aneurysm repair (EVAR). In the emergency setting, like aortic rupture after blunt trauma, or in patients with a hostile abdomen, a more proximal access to the aorta is not a pleasant perspective. We developed in situ introducer sheath dilatation as a bail-out technique for patients with difficult aortic access under various circumstances including EVAR, intra-aortic balloon pump insertion and cannulation for perfusion. The method described allows to increase the access vessel diameter by 50% (from 6 to 9 mm) or the luminal circumference from 18 to 27 F. We have used this technique in five patients without complication, very much in contrast to the traditionally practiced 'forced device insertion'.
Keywords
Aortic Aneurysm, Humans, Intra-Aortic Balloon Pumping
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 9:31
Last modification date
20/08/2019 14:38
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