EJVES Extra Abstract| Volume 44, ISSUE 5, P527, November 2012

‘Trial of Stiff Guidewire’: A Useful Adjunct to Determining Suitability for Endovascular Aneurysm Repair

Open ArchivePublished:September 17, 2012DOI:
      Introduction: This study investigated our practice of performing a pre-operative ‘trial of stiff guidewire’ to assess whether iliac artery tortuosity may be overcome, prior to denying patients endovascular aortic aneurysm repair (EVAR).
      Report: During the 58-month study period, 35 ‘trial of stiff guidewire’ procedures were performed, the thirty-one of whom ‘passed’ were suitable for EVAR. Four patients whose iliac anatomy could not be straightened (failing the trial of stiff guidewire) were offered open surgery only.
      Discussion: If the iliac artery can be straightened using the stiff wire, to a bend less acute than 80°, patients may still be offered EVAR.

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