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Reverse Deployment of the Gore Excluder Contralateral Iliac Limbs for Aortoiliac Interventions 

Reverse Deployment of the Gore Excluder Contralateral Iliac Limbs for Aortoiliac Interventions
Chapter:
Reverse Deployment of the Gore Excluder Contralateral Iliac Limbs for Aortoiliac Interventions
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0009
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date: 04 December 2020

Aortoiliac occlusive disease and aneurysmal disease are common pathologies encountered by the interventionalist. There are a multitude of commercially available bifurcated grafts for use in aortoiliac disease, but these devices are costly and require at least a 14 Fr femoral access for deployment. This chapter describes a simple and safe method for reversing deployment of the Excluder contralateral limb. This has great utility not only for aortoiliac interventions but also for central venous stenoses/occlusions. Reversal of the limb allows a proximal diameter of 12–27 mm with a fixed distal diameter of 16 mm. The technique requires use of a 12–15 Fr sheath, most commonly a 12 Fr sheath.

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