Thoracic aneurysm repair: managing severe tortuosity with brachiofemoral traction.
Challenging anatomy of the thoracic aorta is often encountered, and aortic tortuosity may be a major impediment to the propulsion of the stent-graft. Traction on both ends of a guidewire, with one end exiting the right upper extremity and the other end exiting the lower extremity, is an excellent option to manage thoracic aorta tortuosity. Careful application of simple guidelines may lessen associated risks and improve safety.
Lioupis
Christos
C
Department of Cardiovascular Radiology, Policlinico San Donato, Milan, Italy. lioupisc@panafonet.gr
Medda
Massimo
M
Inglese
Luigi
L
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D001916:Brachial Artery / Q000000981:diagnostic imaging; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D015607:Stents; D016896:Treatment Outcome