Endovascular management of iliac limb occlusion of bifurcated aortic endografts.
Although aortic endograft iliac limb occlusion is an uncommon event, its treatment is problematic because standard surgical thrombectomy risks graft dislodgment or component separation. Although femorofemoral bypass grafting can restore perfusion to the affected limb, its longevity may be inferior to reestablishing patency of the endograft itself and represents a failure of the endograft procedure. With aortic endografts now commercially available, implanting surgeons must be aware of this important complication and well versed in all of the endovascular treatment options. We report three cases of endoluminal management of unilateral iliac limb occlusion of bifurcated aortic endografts.
Bohannon
W Todd
WT
Division Vascular Surgery, Department of Surgery, Southern Illinois University, School of Medicine, Springfield, USA.
Hodgson
Kim J
KJ
Parra
Jose R
JR
Mattos
Mark A
MA
Karch
Laura A
LA
Ramsey
Don E
DE
Solis
Maurice M
MM
McLafferty
Robert B
RB
D000368:Aged; D001011:Aorta / Q000637:transplantation*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000209:etiology* / Q000601:surgery*; D005121:Extremities / Q000098:blood supply*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D014656:Vascular Surgical Procedures