Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral Grafts
- DOI:
- 10.1093/med/9780199986071.003.0023
Contralateral extremity interventions are a mainstay of endovascular therapy for the lower extremity. The retrograde common femoral arterial access for contralateral infrainguinal interventions remains one of the most common access sites. Traversing the aortic bifurcation for an up-and-over approach is readily accomplished with little difficulty, but sharp angulation, severe calcification, iliac occlusive disease, kissing common iliac stents, and surgical or endovascular bifurcations can make this challenging or impossible. This chapter describes multiple techniques to transverse the difficult aortic bifurcations.
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