The semi-compliant balloon bounce technique for total femoral approach during fenestrated-branched endovascular aortic aneurysm repair

Guilherme B. Lima, Nolan C. Cirillo-Penn, Jesse Chait, Randal R. DeMartino, Bernardo C. Mendes

Research output: Contribution to journalArticlepeer-review

Abstract

A total femoral approach for fenestrated-branched endovascular aortic aneurysm repair has been increasingly favored to minimize risks of aortic arch manipulation. We describe a novel technique to support the advancement of endovascular devices into a target vessel. Following catheterization of the intended target artery and deployment of the diameter-reducing ties, a Coda semi-compliant balloon (Cook Medical) is advanced and inflated immediately above the target artery. It is used as a support as the wire, catheter, or sheath “bounces” on the balloon, stabilizing the support wire to advance stent grafts, balloons, or sheaths into the downward renal or mesenteric vessels.

Original languageEnglish (US)
Article number101429
JournalJournal of Vascular Surgery Cases, Innovations and Techniques
Volume10
Issue number3
DOIs
StatePublished - Jun 2024

Keywords

  • Semi-compliant balloon
  • Thoracoabdominal aortic aneurysm
  • Total femoral endovascular aortic repair
  • Total femoral fenestrated and branched endovascular aortic repair

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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