Technical tips for the implantation of the Gore® Excluder® AAA and Iliac Branch Endoprosthesis in short aorto-iliac anatomies

Abstract The purpose of this article is to describe the techniques used to deploy a Gore® Excluder® AAA and IBE in a short aorto-iliac anatomy, expanding treatment options of a patient otherwise unfit for endovascular repair. Four strategies where used to shorten the total length of the components, achieving a reduction of over 3 cm during deployment: a pull-pull technique on a through-and-through guidewire to accommodate the IBE onto the iliac bifurcation, deployment in a “cross-limb” configuration, foreshortening of the iliac bridging component during release, and final proximal shortening of the AAA main-body thanks to the C3 repositionable delivery system.