Use of the right brachio-femoral wire approach to manage a thoracic aortic aneurysm in an extremely angulated and tortuous aorta with an endoluminal stent graft
Jacques Kpodonu 1*,
Julio A. Rodriguez-Lopez 2,
Venkatesh G. Ramaiah 2,
Edward B. Diethrich 2
1 Northwestern Memorial Hospital, Chicago, IL, USA
2 Arizona Heart Institute, Phoenix, AZ, USA
* To whom correspondence should be addressed. E-mail: jacqueskpodonu{at}yahoo.ca.
 |
Abstract |
|---|
The presence of a tortuous, elongated thoracic aorta and an angulated arch poses a technical challenge for the delivery of an endoluminal graft to the target site to exclude management of a thoracic aortic aneurysm. Despite the availability of a flexible delivery sheath system, adjunct techniques are necessary to deal with extremely tortuous thoracic aortas. The use of a brachio-femoral wire with tension applied at both ends is a useful technique to deliver an endoluminal graft in an angulated thoracic arch. We describe the use of a right brachio-femoral wire approach to treat a thoracic aortic aneurysm in a 75-year-old man with an elongated, tortuous and angulated arch aorta. Keywords: Thoracic aneurysm; Endoluminal graft; Brachio-femoral wire
