Identify arteriotomy site and mark with surgical clamp.
Attach vessel loops or vascular clamps for proximal and distal control of
artery. Do not tighten at this stage.
Gain access to artery using a micropuncture kit, insert wire, remove needle,
and insert 4F sheath.
Exchange 4F sheath for 7F sheath - replace micropuncture wire with 0.0014"
wire.
Load AIG delivery system over the 0.014" wire.
Under fluoroscopic guidance, advance AIG over the wire and into the artery
approximately 1 - 2 cm past arteriotomy.
Arrow points to clamp tip at arteriotomy site.
Remove red deployment lock labeled D and position AIG marker band approximately
2 cm central to clamp tip that marks the arteriotomy site.
Loosen T-B valve B.
Reconfirm marker band position, remove 7F sheath and deploy AIG under
floroscopy using standard "pin and pull" technique until only the tines
emerge from the delivery sheath.
Inflate positioning baloon.
Pull the inflated baloon back to engage tines, tighten T-B valve
B.
Slowly pull entire AIG system up vertically from artery until resistance
is felt.
Resistance indicates apposition of the tines at the artery wall.
Complete deployment of the AIG using "pin and pull" technique.
Deflate balloon.
Remove entire system and guidewire.
Grasp protruding end of AIG to control bleeding.
Stabilize base of AIG by grasping.
Insert AIG into graft.
Remove clamp and verify flow through circuit.
Release vessel loops or vascular clamps, close incisions.
