Related Experiment Video
Updated: Jan 9, 2026
06:39
Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
Published on: February 18, 2020
7.1K
Single-Access Iliac Branched Device Implantation With Kissing-Balloon Technique
Luís Fernandes1,2, José Torrealba1, Giuseppe Panuccio1
1German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center UKE Hamburg, Hamburg, Germany.
Summary
This study introduces a novel single-femoral access technique for deploying iliac branch devices (IBDs) after endovascular aortic repair (EVAR). This method simplifies the procedure and potentially reduces access-site complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Device Technology
Background:
- Standard iliac branch device (IBD) deployment requires bilateral femoral access, which can be challenging post-endovascular aortic repair (EVAR).
- Previous EVAR may complicate repeat access, increasing risks of complications.
Purpose of the Study:
- To present a novel technique for IBD deployment utilizing single femoral access following EVAR.
- To evaluate the feasibility and safety of this simplified approach.
Main Methods:
- A technique using single percutaneous left common femoral artery access was employed.
- A steerable sheath facilitated access for IBD deployment and bridging stent placement.
- Kissing-balloon angioplasty ensured adequate expansion of the IBD and bridging stent.
Main Results:
- Successful IBD deployment was achieved using the single-access technique.
- Completion angiography confirmed device patency and absence of endoleak.
- The patient experienced an uneventful postoperative course.
Conclusions:
- Single-access IBD deployment with a steerable sheath is a feasible alternative after EVAR.
- This technique may reduce access-site complications compared to standard bilateral access.
- The approach ensures adequate device expansion and satisfactory clinical outcomes.
