Transfemoral endoluminal repair of abdominal aortic aneurysm with bifurcated graft

Haemodynamic and metabolic response to endovascular repair of infra-renal aortic aneurysms

“…Early experiences with endovascular graft insertion have been reported from Nottingham and other centres. [2][3][4] This technique offers several potential advantages over conventional (open) repair, including a surgical approach via groin incisions rather than laparotomy, avoidance of retroperitoneal dissection and a much briefer period of abrupt aortic occlusion during placement of the graft. These theoretical advantages are likely to be of benefit to the patient only if they are accompanied by a reduction in the haemodynamic and metabolic stresses imposed by surgery, although the association between these intraoperative improvements and a reduction in postoperative morbidity and mortality may only become apparent by studying large numbers of patients.…”

Endoluminal Exclusion of Abdominal Aortic Aneurysms

“…The Chuter device Following successful endoluminal implantation of a bifurcated graft in an animal model,48 this device has also been implanted in humans. 51,53,58 The endograft utilizes self-expanding Gianturco-Z-stents (Cook Inc., Bloomington, IN, USA) which are used to secure the top end of a soft Dacron bifurcated graft (Meadox Ltd, Oakland, NJ, USA) into the infrarenal aorta, and the distal end of the two limbs into the common iliac artery. Deployment requires bilateral common femoral arteriotomies.…”

Transluminal repair of an infrarenal aortoiliac aneurysm by a combination of bifurcated and branched stent grafts

“…Since Parodi et al [1] first introduced the concept of transfemoral repair of abdominal aortic aneurysms in 1991, its clinical feasibility has recently been demonstrated by a number of studies [2][3][4]. The development of bifurcated stent grafts has contributed greatly to widening the indication of endovascular repair.…”