Challenging access situations continue to arise in endovascular aneurysm repair, despite evolving arterial access techniques. We report a modified access approach, where an ascending aortic conduit was successfully used for antegrade delivery of a thoracic endograft to repair a descending thoracic aortic aneurysm, in a patient with previous surgical ligation of the infra-renal aorta.
Copyright © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.