Vascular accesses were obtained by insertion of two 8 Fr sheathes into both femoral arteries, and aortography was performed via right femoral artery using a 5 Fr pigtail diagnostic catheter ( Movie 1). After the puncture sites were prepared to be closed using 2 8Fr Proglide for each site, we dilated the right femoral artery using 18 Fr sheath dilator and then inserted and deployed the Endurant Stent Graft System 20 Fr (28-16-14mm/124mm bifurcated stent graft system) from AAA to right common iliac artery ( Movie 2, Figure 3). An Endurant stent graft system limb 14Fr (16-16mm/120mm) was deployed at left common iliac artery ( Movie 3). The balloon dilatation was performed via left and right femoral artery with a Reliant 46mm balloon at stent body and both bifurcated branches (Figure 4, Figure 5, Figure 6, Figure 7). Final angiogram showed successful exclusion of AAA without significant endoleak ( Movie 4). After the intervention, both puncture sites were closed by two prepared Proglides.
|
Leave a comment