Outcomes and strategies for utilization of brachial access and preloaded systems during F/BEVAR

Abstract

The advent of steerable sheaths has contributed to a decrease in the use of preloaded delivery systems and upper extremity access for fenestrated and branched repairs. However, the use of brachial access and preloaded delivery systems is often still necessary and useful in the treatment of complex thoracoabdominal, pararenal, and aortic arch aneurysms. This review describes the outcomes of brachial access and preloaded delivery systems and provides a thorough description of the types of preloaded delivery systems available.