Transcaval delivery of the Gore ThoracoAbdoMinal Branch Endoprosthesis branched endograft for the treatment of a complex aortic aneurysm with small iliac access
Abstract
Endovascular repair of thoracoabdominal aortic aneurysm has been limited by the need for large iliac access or open iliac conduits. We describe a technique for transcaval delivery of the Gore thoracoabdominal multibranch endoprosthesis in a patient with unfavorable iliac anatomy. After femoral venous puncture, a controlled aortocaval tract is created with an electrified 0.014″ wire and serially dilated to allow insertion of a 22F Dryseal sheath into the abdominal aorta and deployment of the thoracoabdominal branch endoprosthesis delivery system. At procedure completion the aortocaval tract is then closed with a Gore Cardioform Septal Occluder.
Fields of Study & Subjects
Aortic aneurysm repair treatments
Aortic Disease and Treatment Approaches
Cardiac Valve Diseases and Treatments
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 2
- Pages
- 102142–102142
- Publication date
- 10 January 2026
- Language
- EN