Antegrade delivery of a thoracic endovascular stent graft via axillary access with retrograde in situ laser fenestrations
Abstract
Thoracic endovascular aortic repair is typically done through a retrograde transfemoral approach. However, it is not uncommon for the femoral or iliac arteries to be heavily diseased, making retrograde delivery difficult. This has traditionally been addressed through open and endovascular conduits. We present a case of a patient with a ligated infrarenal aorta and a pseudoaneurysm arising from a supraceliac to bi-iliac bypass. This was subsequently treated via antegrade delivery of a thoracic endovascular aortic repair device via axillary access with in situ laser fenestrations for the iliac limbs.
Fields of Study & Subjects
Aortic Disease and Treatment Approaches
Aortic aneurysm repair treatments
Infectious Aortic and Vascular Conditions
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102199–102199
- Publication date
- 26 February 2026
- Language
- EN