How to Confirm Catheterization of Inner Branches in Aortic Endografting: The Universal Flush Test

Abstract

Purpose: To describe a quick, simple, and reliable technique to confirm successful catheterization of a branched thoracic endograft’s inner branch. Technique: Accurate cannulation of inner branches can be verified through insertion and mild retraction of a Universal Flush angiographic catheter, whose tip hooks the branch and slightly opens. Conclusion: The use of an angiographic catheter with a curved tip is a safe and easy procedure that can be adopted to check the correct position inside the branch of an endograft designed for treatment of the aortic arch.

Keywords

angiographic catheter aortic arch branched stent-graft innominate artery left common carotid artery pigtail catheter thoracic endovascular aortic repair

Get full access to this article

View all access options for this article.

References

Inoue

Hosokawa

Iwase

. Aortic arch reconstruction by transluminally placed endovascular branched stent graft. Circulation. 1999;100(19 suppl):II316–II321.

Chuter

Schneider

DB.

Endovascular repair of the aortic arch. Perspect Vasc Surg Endovasc Ther. 2007;19:188–192.

Feng

Zhou

. Endovascular repair by customized branched stent-graft: A promising treatment for chronic aortic dissection involving the arch branches. J Thorac Cardiovasc Surg. 2015;150:1631–1638.

Haulon

Greenberg

Spear

at.

Global experience with an inner branched arch endograft. J Thorac Cardiovasc Surg. 2014;148:1709–1716.

Wilson

Benveniste

GL.

EVAR technical tip: Confirmation of contralateral limb gate cannulation using a moulding balloon. EJVES Extra. 2010;20:e25–e26.

Trellopoulos

Georgiadis

Nikolopoulos

. Current tips for ensuring successful transfemoral short limb cannulation in modular aortic endografts: a new method for incorporation in practice. Perspect Vasc Surg Endovasc Ther. 2009;21:232–236.