title: Iliac graft access to facilitate endovascular repair of a ruptured thoracic aortic aneurysm -- a case report.
abstract: Arterial access for endovascular aortic aneurysm repair is usually gained through a common femoral artery approach. In small femoral arteries this can be difficult or even impossible owing to the large size of the introduction sheath of the delivery system. In such cases the iliac arteries or the abdominal aorta can be used for vascular access, although, in heavily calcified arteries,even this can be hazardous. The authors report an 81-year-old woman with a contained rupture of the thoracic aorta in whom a polyester graft was used to facilitate vascular access to the common iliac artery for a safe two-stage endovascular repair of the aneurysm.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital Bern, Switzerland. juerg.schmidli@insel.ch
authors.forename: Jurg
authors.initials: J
authors.lastname: Schmidli
authors.forename: D D
authors.initials: DD
authors.lastname: Do
authors.forename: J
authors.initials: J
authors.lastname: Triller
authors.forename: M K
authors.initials: MK
authors.lastname: Widmer
authors.forename: H
authors.initials: H
authors.lastname: Savolainen
authors.forename: T
authors.initials: T
authors.lastname: Carrel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D011091:Polyesters
chemical_list: D011091:Polyesters