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Fig. 2 | CVIR Endovascular

Fig. 2

From: Balloon-oriented puncture for creating an access for endovascular aortic aneurysm repair in a case of iliac and femoral artery occlusion

Fig. 2

Procedure detail. a: The angiogram shows the occlusion of left EIA (dotted line), b: An angioplasty balloon was advanced to the occluded CFA and expanded (arrow heads), c: Percutaneous puncture of expanded balloon at the occluded CFA (arrow head), d: A guidewire (arrow) was inserted into the punctured balloon (arrow head), e: A through and through wire was established, f: A 8F sheath was advanced to the left CIA over the through and through wire (arrow head), g: the contralateral wire attached to the endograft was caught by a snare catheter (arrow head) advanced from the left CFA, h: After endograft deployment, a touch-up balloon was expanded inside the endograft, i: Completion angiogram shows a successful exclusion of AAA, j: Coil embolization was performed to occlude the tract where the 8F sheath was advanced (arrow head). AAA: abdominal aortic aneurysm, CFA: common femoral artery, CIA: common iliac artery, EIA external iliac artery

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