Crossing the Limbs: A Useful Adjunct for Successful Deployment of the AneuRx Stent-Graft
Purpose: To describe a technique for deploying an AneuRx stent-graft in an abdominal aortic aneurysm (AAA) with an acutely angled aortic neck. Technique: In routine cases, the AneuRx stent-graft main body is positioned with the nose cone notch facing the contralateral side. In severely angulated aor...
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| Veröffentlicht in: | Journal of endovascular therapy 2002-10, Vol.9 (5), p.583-586 |
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| container_issue | 5 |
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| container_title | Journal of endovascular therapy |
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| creator | Ramaiah, Venkatesh G. Thompson, Charles S. Shafique, Shoaib Rodriguez, Julio A. Ravi, Rajagopalan DiMugno, Leanne Diethrich, Edward B. |
| description | Purpose:
To describe a technique for deploying an AneuRx stent-graft in an abdominal aortic aneurysm (AAA) with an acutely angled aortic neck.
Technique:
In routine cases, the AneuRx stent-graft main body is positioned with the nose cone notch facing the contralateral side. In severely angulated aortic necks, however, the main body of the AneuRx stent-graft can be positioned with the nose cone notch and iliac limb gate facing the ipsilateral side; this dramatically reduces the acuity of the angle at the aortic neck and the iliac gate. This technique of “crossing the limbs” has been successfully used in 7 cases since FDA approval of the AneuRx device.
Conclusions:
Proximal neck angulation is an important factor for successful endovascular AAA repair. Crossing the graft limbs reduces the effect of neck angulation on the proximal main body and may decrease the stress upon the contralateral limb gate, which may avoid graft gate disconnection and endoleak. |
| doi_str_mv | 10.1177/152660280200900505 |
| format | Article |
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To describe a technique for deploying an AneuRx stent-graft in an abdominal aortic aneurysm (AAA) with an acutely angled aortic neck.
Technique:
In routine cases, the AneuRx stent-graft main body is positioned with the nose cone notch facing the contralateral side. In severely angulated aortic necks, however, the main body of the AneuRx stent-graft can be positioned with the nose cone notch and iliac limb gate facing the ipsilateral side; this dramatically reduces the acuity of the angle at the aortic neck and the iliac gate. This technique of “crossing the limbs” has been successfully used in 7 cases since FDA approval of the AneuRx device.
Conclusions:
Proximal neck angulation is an important factor for successful endovascular AAA repair. Crossing the graft limbs reduces the effect of neck angulation on the proximal main body and may decrease the stress upon the contralateral limb gate, which may avoid graft gate disconnection and endoleak.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1177/152660280200900505</identifier><identifier>PMID: 12431139</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; Aortography ; Blood Vessel Prosthesis Implantation - methods ; Humans ; Stents</subject><ispartof>Journal of endovascular therapy, 2002-10, Vol.9 (5), p.583-586</ispartof><rights>2002 SAGE Publications</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1865-7a17f901a54a2fccda4dc1cc21b797a27a1dc9f6ce8220eecea13de6bf58417d3</citedby><cites>FETCH-LOGICAL-c1865-7a17f901a54a2fccda4dc1cc21b797a27a1dc9f6ce8220eecea13de6bf58417d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/152660280200900505$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/152660280200900505$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12431139$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ramaiah, Venkatesh G.</creatorcontrib><creatorcontrib>Thompson, Charles S.</creatorcontrib><creatorcontrib>Shafique, Shoaib</creatorcontrib><creatorcontrib>Rodriguez, Julio A.</creatorcontrib><creatorcontrib>Ravi, Rajagopalan</creatorcontrib><creatorcontrib>DiMugno, Leanne</creatorcontrib><creatorcontrib>Diethrich, Edward B.</creatorcontrib><title>Crossing the Limbs: A Useful Adjunct for Successful Deployment of the AneuRx Stent-Graft</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To describe a technique for deploying an AneuRx stent-graft in an abdominal aortic aneurysm (AAA) with an acutely angled aortic neck.
Technique:
In routine cases, the AneuRx stent-graft main body is positioned with the nose cone notch facing the contralateral side. In severely angulated aortic necks, however, the main body of the AneuRx stent-graft can be positioned with the nose cone notch and iliac limb gate facing the ipsilateral side; this dramatically reduces the acuity of the angle at the aortic neck and the iliac gate. This technique of “crossing the limbs” has been successfully used in 7 cases since FDA approval of the AneuRx device.
Conclusions:
Proximal neck angulation is an important factor for successful endovascular AAA repair. Crossing the graft limbs reduces the effect of neck angulation on the proximal main body and may decrease the stress upon the contralateral limb gate, which may avoid graft gate disconnection and endoleak.</description><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortography</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Stents</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9Lw0AQxRdRrFa_gAfZk7fYnU02m3grVatQEKwFb2Gzma0p-VN3s2C_vYkteBA8zTDzew_eI-QK2C2AlBMQPI4ZTxhnLGVMMHFEzkBEIgAh2PGw8zgYiBE5d27DGAcOcEpGwKMQIEzPyPvMts6VzZp2H0gXZZ27OzqlK4fGV3RabHyjO2paS5dea3RuON_jtmp3NTYdbc2PcNqgf_2iy66_BXOrTHdBToyqHF4e5pisHh_eZk_B4mX-PJsuAg1JLAKpQJqUgRKR4kbrQkWFBq055DKVivf_Qqcm1phwzhA1KggLjHMjkghkEY7Jzd53a9tPj67L6tJprCrVYOtdJnmchIkIe5DvQT0ktmiyrS1rZXcZsGzoM_vbZy-6Prj7vMbiV3IosAcme8CpNWab1tumT_uf5TdmKX1Z</recordid><startdate>200210</startdate><enddate>200210</enddate><creator>Ramaiah, Venkatesh G.</creator><creator>Thompson, Charles S.</creator><creator>Shafique, Shoaib</creator><creator>Rodriguez, Julio A.</creator><creator>Ravi, Rajagopalan</creator><creator>DiMugno, Leanne</creator><creator>Diethrich, Edward B.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200210</creationdate><title>Crossing the Limbs: A Useful Adjunct for Successful Deployment of the AneuRx Stent-Graft</title><author>Ramaiah, Venkatesh G. ; Thompson, Charles S. ; Shafique, Shoaib ; Rodriguez, Julio A. ; Ravi, Rajagopalan ; DiMugno, Leanne ; Diethrich, Edward B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1865-7a17f901a54a2fccda4dc1cc21b797a27a1dc9f6ce8220eecea13de6bf58417d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortography</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ramaiah, Venkatesh G.</creatorcontrib><creatorcontrib>Thompson, Charles S.</creatorcontrib><creatorcontrib>Shafique, Shoaib</creatorcontrib><creatorcontrib>Rodriguez, Julio A.</creatorcontrib><creatorcontrib>Ravi, Rajagopalan</creatorcontrib><creatorcontrib>DiMugno, Leanne</creatorcontrib><creatorcontrib>Diethrich, Edward B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ramaiah, Venkatesh G.</au><au>Thompson, Charles S.</au><au>Shafique, Shoaib</au><au>Rodriguez, Julio A.</au><au>Ravi, Rajagopalan</au><au>DiMugno, Leanne</au><au>Diethrich, Edward B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crossing the Limbs: A Useful Adjunct for Successful Deployment of the AneuRx Stent-Graft</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2002-10</date><risdate>2002</risdate><volume>9</volume><issue>5</issue><spage>583</spage><epage>586</epage><pages>583-586</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To describe a technique for deploying an AneuRx stent-graft in an abdominal aortic aneurysm (AAA) with an acutely angled aortic neck.
Technique:
In routine cases, the AneuRx stent-graft main body is positioned with the nose cone notch facing the contralateral side. In severely angulated aortic necks, however, the main body of the AneuRx stent-graft can be positioned with the nose cone notch and iliac limb gate facing the ipsilateral side; this dramatically reduces the acuity of the angle at the aortic neck and the iliac gate. This technique of “crossing the limbs” has been successfully used in 7 cases since FDA approval of the AneuRx device.
Conclusions:
Proximal neck angulation is an important factor for successful endovascular AAA repair. Crossing the graft limbs reduces the effect of neck angulation on the proximal main body and may decrease the stress upon the contralateral limb gate, which may avoid graft gate disconnection and endoleak.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>12431139</pmid><doi>10.1177/152660280200900505</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of endovascular therapy, 2002-10, Vol.9 (5), p.583-586 |
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| language | eng |
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| subjects | Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Aortography Blood Vessel Prosthesis Implantation - methods Humans Stents |
| title | Crossing the Limbs: A Useful Adjunct for Successful Deployment of the AneuRx Stent-Graft |
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