title: "Paving and cracking": an endovascular technique to facilitate the introduction of aortic stent-grafts through stenosed iliac arteries.
abstract: OBJECTIVE
  To describe a technique that facilitates the safe introduction of aortic stent-grafts through diseased iliac arteries.
  
  
  METHODS
  The technique involves relining and dilating ("paving and cracking") stenosed iliac arteries with covered stents prior to the introduction of the main aortic stent-graft. It has been successfully used to introduce aortic stent-grafts in patients where other transfemoral endovascular measures have failed.
  
  
  CONCLUSIONS
  This technique increases the applicability of transfemoral EVAR and prevents serious complications as a result of access-related damage to the iliac arteries.
authors.affiliation: Endovascular Centre, Department of Vascular Disease, Malmö University Hospital, Malmö, Sweden. robhinchliffe@doctors.org.uk
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Hinchliffe
authors.forename: Krassi
authors.initials: K
authors.lastname: Ivancev
authors.forename: Björn
authors.initials: B
authors.lastname: Sonesson
authors.forename: Martin
authors.initials: M
authors.lastname: Malina
mesh_terms: D017130:Angioplasty; D000800:Angioplasty, Balloon; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D003251:Constriction, Pathologic; D004106:Dilatation; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome