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Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral Grafts 

Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral Grafts
Chapter:
Techniques for Traversing Difficult Aortic Bifurcations and Aortobifemoral Grafts
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0023
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date: 17 February 2020

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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