%0 Journal Article
%T Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels
%A Fiona Rohlffs
%A Franziska Heidemann
%A Krister Liungman
%A Linus Bosaeus
%A Nikolaos Tsilimparis
%A Tilo K£¿lbel
%J Journal of Endovascular Therapy
%@ 1545-1550
%D 2018
%R 10.1177/1526602817744344
%X Purpose: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator. Technique: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm. She was treated with a fenestrated Zenith stent-graft that had a catheter-preloaded fenestration for the left subclavian artery (LSA) and a scallop for the left common carotid artery. To avoid through-and-through wire and brachial access, the LGF was used to secure the guidewire in the LSA during stent-graft deployment. Conclusion: The use of an LGF for anchoring in the target LSA during fenestrated arch endografting was feasible and safe
%K aortic aneurysm
%K aortic arch
%K fenestrated stent-graft
%K guidewire fixator
%K left subclavian artery
%K thoracic aorta
%K thoracic endovascular aortic repair
%U https://journals.sagepub.com/doi/full/10.1177/1526602817744344