Combined transbrachial and transfemoral strategy to deploy an iliac branch endoprosthesis in the setting of a pre-existing endovascular aortic aneurysm repair

S. Keisin Wang, Julia N. Miladore, Elliott J. Yee, Jane L. Liao, Nikunj N. Donde, Raghu Motaganahalli

Research output: Contribution to journalArticle


This article describes brachial access to position a long sheath in the abdominal aorta in conjunction with a large caliber sheath via the femoral artery ipsilateral to the target site to deliver a 0.018 bodyfloss wire. This bodyfloss wire is inserted into the precannulation port of the iliac branch endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz), which is then advanced from the groin. Once the bifurcated device is deployed, hypogastric access and stenting is achieved from the upper extremity. This technique is an alternative to safely extend the distal seal while preserving the hypogastric artery and has the advantage of limited iliac bifurcation manipulation.

Original languageEnglish (US)
Pages (from-to)305-309
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Issue number3
StatePublished - Sep 1 2019



  • Endovascular aortic aneurysm repair (EVAR)
  • Iliac aneurysm
  • Iliac branch endoprosthesis
  • Reintervention
  • Transbrachial

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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