Key result
Salvage direct transabdominal aortic access enables successful TEVAR and pseudoaneurysm exclusion during severe iliac spasm.
Why the study?
Iliac artery spasm can prevent femoral TEVAR device delivery, prompting the description of salvage direct transabdominal aortic access as a bailout strategy.
Population
A 58-year-old woman with a symptomatic thoracic aortic pseudoaneurysm
Comparison
Salvage direct transabdominal aortic access for TEVAR after failed bilateral femoral access
Design
Case report
Follow-up
One month
Authors
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Salvage transabdominal aortic access may provide bailout for TEVAR with iliac spasm; extends options but remains hypothesis-generating pending larger studies.
Case Report (n=1)
Salvage direct transabdominal aortic access serves as an effective and definitive bailout strategy for TEVAR when severe iliac artery spasm prevents conventional femoral device delivery.
Yu et al. (2026) conducted a case report in Symptomatic thoracic aortic pseudoaneurysm (n=1). Salvage direct transabdominal aortic access was evaluated on Successful stent graft deployment and pseudoaneurysm exclusion. Salvage direct transabdominal aortic access enabled successful TEVAR stent graft deployment and complete pseudoaneurysm exclusion at 1 month in a patient with severe iliac artery spasm.
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