Abstract
The GORE EXCLUDER thoracoabdominal branch endoprosthesis is the only commercially available, off-the-shelf stent graft for endovascular repair of thoracoabdominal aortic aneurysms in the United States. The design features preloaded guidewires, eliminating the need to separately catheterize each branch portal. However, wire wrapping of the target vessel cannulation wires can cause technical difficulties during catheterization and presents challenges to bridge stent delivery and deployment, leading to bridge stent wrapping. We present a series of cases involving wire wrapping of the celiac and superior mesenteric arteries, and discuss the technical considerations for wire wrapping with the thoracoabdominal branch endoprosthesis device.