- Procedural step:
Both femoral arteries were punctured with 6 Fr sheath. Using 2 Perclose
Proglide 6 Fr at both side respectively, we changed 8 Fr sheath. With
pigtail catheter, aortography was done. After 0.035 inch Terumo wire insertion,
Lt. femoral sheath was changed into FLEXOR BALKIN CONTRALATERAL 6 Fr sheath
and then Vascular Plug II Amplatzer 12 mm was inserted into Rt. Internal
iliac artery. (Figure
2) Both femoral sheath were changed into 12 Fr at Lt. side & 18
Fr at Rt. side. An EXCLUDER Trunk-ipsilateral leg 26X12X160 mm stent was
deployed. (Figure
3) After stent insertion, Coda balloon (10 Fr, 32 mm sized) was inflated
into in-stent area. EXCLUDER iliac extender 16X10X70 mm stent was deployed
at Rt. external iliac artery. (Figure
4) And then, 0.035 inch Terumo wire was advanced into excluder body
area. EXCLUDER contralateral leg 14.5X120 mm stent was implanted into
Lt. CIA. (Figure
5) High pressure balloon dilatation was done with Coda balloon (10
Fr, 32 mm sized). Final angiogram showed successful exclusion of AAA.
(Figure
6) Using Perclose device, Both femoral site hemostaisis were successfully
achieved.
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