title: A modified technique for Gore Excluder limb deployment in difficult iliac anatomy during endovascular abdominal aortic aneurysm repair.
abstract: Complex iliac anatomy including extreme tortuosity constitutes a relative contraindication for endovascular abdominal aortic aneurysm repair with additional risk of limb-graft occlusion. The Gore Excluder limb-graft is a flexible stent-graft, which adapts easily to iliac tortuosity. Nevertheless, the presence of the stiff guide wire does not always allow for an ideal apposition of the stent graft to the angulated common iliac artery vessel wall. We describe herein a modified technique for Gore Excluder limb-graft deployment with partial removal of the stiff wire in cases with difficult tortuous or narrow iliac arteries during endovascular abdominal aortic aneurysm repair.
authors.affiliation: Department of Surgery (Division of Vascular Surgery), 401 General Military Hospital of Athens, Athens, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Vourliotakis
authors.affiliation: Department of Vascular Surgery, Klinikum Nürnberg, Nürnberg, Germany.
authors.forename: Αthanasios
authors.initials: Α
authors.lastname: Katsargyris
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Ignace F J
authors.initials: IF
authors.lastname: Tielliu
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Clark J
authors.initials: CJ
authors.lastname: Zeebregts
authors.affiliation: Department of Vascular Surgery, Klinikum Nürnberg, Nürnberg, Germany Eric.Verhoeven@klinikum-nuernberg.de.
authors.forename: Eric L G
authors.initials: EL
authors.lastname: Verhoeven
mesh_terms: D015901:Angiography, Digital Subtraction; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D062666:Vascular Access Devices
keywords: Gore Excluder limb graft; abdominal aortic aneurysm; endovascular repair; tortuous iliac artery