Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique
Total transfemoral endovascular repair of thoracoabdominal aneurysms is feasible with physician-modified endografts. We present our technique for exclusively delivering the Gore Excluder thoracoabdominal branch endoprosthesis (W. L. Gore & Associates) via transfemoral access. A 16 Fr steerab...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-04-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724003010 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832576385171849216 |
|---|---|
| author | Saurabh Gupta, MD Joshua Plant, MD Javaneh Jabbari, MD Arian Savadkohi Shahab Toursavadkohi, MD |
| author_facet | Saurabh Gupta, MD Joshua Plant, MD Javaneh Jabbari, MD Arian Savadkohi Shahab Toursavadkohi, MD |
| author_sort | Saurabh Gupta, MD |
| collection | DOAJ |
| description | Total transfemoral endovascular repair of thoracoabdominal aneurysms is feasible with physician-modified endografts. We present our technique for exclusively delivering the Gore Excluder thoracoabdominal branch endoprosthesis (W. L. Gore & Associates) via transfemoral access. A 16 Fr steerable sheath is positioned outside the partially deployed thoracoabdominal branch endoprosthesis device, and the preloaded wires are individually snared, allowing for a stable 8 Fr coaxial system to cannulate and deliver stents to target vessels. This technique avoids upper extremity access and maintains all wires within the descending thoracic aorta, allowing implantation in patients with challenging aortic arch configurations and potentially mitigating stroke risk. |
| format | Article |
| id | doaj-art-06d25561fe81492db937117b54385720 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-06d25561fe81492db937117b543857202025-01-31T05:12:09ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-01112101717Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft techniqueSaurabh Gupta, MD0Joshua Plant, MD1Javaneh Jabbari, MD2Arian Savadkohi3Shahab Toursavadkohi, MD4University of Maryland School of Medicine, Baltimore, MDUniversity of Maryland School of Medicine, Baltimore, MDUniversity of Maryland School of Medicine, Baltimore, MD; Correspondence: Javaneh Jabbari, MD. Department of Vascular Surgery, University of Maryland School of Medicine, 22 S. Greene St., Rm. S10B00 Baltimore, MD 21201Towson University, Towson, MDUniversity of Maryland School of Medicine, Baltimore, MDTotal transfemoral endovascular repair of thoracoabdominal aneurysms is feasible with physician-modified endografts. We present our technique for exclusively delivering the Gore Excluder thoracoabdominal branch endoprosthesis (W. L. Gore & Associates) via transfemoral access. A 16 Fr steerable sheath is positioned outside the partially deployed thoracoabdominal branch endoprosthesis device, and the preloaded wires are individually snared, allowing for a stable 8 Fr coaxial system to cannulate and deliver stents to target vessels. This technique avoids upper extremity access and maintains all wires within the descending thoracic aorta, allowing implantation in patients with challenging aortic arch configurations and potentially mitigating stroke risk.http://www.sciencedirect.com/science/article/pii/S2468428724003010Thoracoabdominal aneurysmEndovascular anuerysm repairBranched endograftGore Excluder thoracoabdominal branch endoprosthesis |
| spellingShingle | Saurabh Gupta, MD Joshua Plant, MD Javaneh Jabbari, MD Arian Savadkohi Shahab Toursavadkohi, MD Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique Journal of Vascular Surgery Cases and Innovative Techniques Thoracoabdominal aneurysm Endovascular anuerysm repair Branched endograft Gore Excluder thoracoabdominal branch endoprosthesis |
| title | Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique |
| title_full | Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique |
| title_fullStr | Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique |
| title_full_unstemmed | Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique |
| title_short | Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique |
| title_sort | total transfemoral approach for gore excluder thoracoabdominal branch endoprosthesis tambe external tour de graft technique |
| topic | Thoracoabdominal aneurysm Endovascular anuerysm repair Branched endograft Gore Excluder thoracoabdominal branch endoprosthesis |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724003010 |
| work_keys_str_mv | AT saurabhguptamd totaltransfemoralapproachforgoreexcluderthoracoabdominalbranchendoprosthesistambeexternaltourdegrafttechnique AT joshuaplantmd totaltransfemoralapproachforgoreexcluderthoracoabdominalbranchendoprosthesistambeexternaltourdegrafttechnique AT javanehjabbarimd totaltransfemoralapproachforgoreexcluderthoracoabdominalbranchendoprosthesistambeexternaltourdegrafttechnique AT ariansavadkohi totaltransfemoralapproachforgoreexcluderthoracoabdominalbranchendoprosthesistambeexternaltourdegrafttechnique AT shahabtoursavadkohimd totaltransfemoralapproachforgoreexcluderthoracoabdominalbranchendoprosthesistambeexternaltourdegrafttechnique |