Show Summary Details
Page of

The Endoconduit for Small Iliac Access 

The Endoconduit for Small Iliac Access
Chapter:
The Endoconduit for Small Iliac Access
Author(s):

Ripal T. Gandhi

, Jonathan J. Iglesias

, Constantino S. Peña

, and James F. Benenati

DOI:
10.1093/med/9780199986071.003.0013
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 27 January 2020

Endoconduits are increasingly being utilized in patients with small iliac access who require introduction of large devices for endovascular aneurysm repair, thoracic endovascular aneurysm repair, and transcatheter aortic valve replacement. Many techniques exist to circumvent the challenges imposed by suboptimal iliac anatomy, the most common of which is placement of an open surgical conduit through a retroperitoneal exposure of the common iliac artery or distal aorta. Endoconduit placement avoids more aggressive surgical approaches and involves the placement of a covered stent across the diseased iliac segment from a femoral approach. Following deployment, the endoconduit is aggressively balloon-angioplastied. This creates a proximal and distal seal while rupturing the diseased iliac segment and allows passage of large-profile sheaths and devices. A stepwise approach to placement of an endoconduit is reviewed, and tips and tricks are presented.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.