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“Paving and Cracking”: An Endovascular Technique to Facilitate the Introduction of Aortic Stent-Grafts Through Stenosed Iliac Arteries

2007; SAGE Publishing; Volume: 14; Issue: 5 Linguagem: Inglês

10.1583/1545-1550(2007)14[630

1545-1550

Robert J. Hinchliffe, Krassi Ivancev, Björn Sonesson, Martin Malina,

Peripheral Artery Disease Management

To describe a technique that facilitates the safe introduction of aortic stent-grafts through diseased iliac arteries.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.This technique increases the applicability of transfemoral EVAR and prevents serious complications as a result of access-related damage to the iliac arteries.