Endovascular common iliac aneurysm exclusion with antegrade hypogastric artery flow preservation: a novel approach.
Open surgical repair of iliac aneurysms has been usually associated with significant morbidity and mortality. The introduction of novel endovascular techniques has expanded the currently available options to treat these aneurysms. However, the use of endoluminal stent grafts to treat common iliac artery aneurysms by landing their distal end into the hypogastric artery in patients where flow into the latter artery is crucial to avoid end-organ ischemia has only been rarely reported in the past. A case report of a common iliac aneurysm case treated with a novel therapeutic approach, not previously reported is herein presented. Three telescopically-overlapping Hemobahn/Viabahn polytetrafluoroethylene (PTFE)-covered endoprosthesis (W.L. Gore & Associates, Flagstaff, AZ) were used with success.
Leon
Luis R
LR
University of Arizona Health Science Center, Tuczon, AZ, USA. luis.leon@va.gov
Psalms
Shemuel B
SB
Ihnat
Daniel M
DM
Becker
Gary J
GJ
Mills
Joseph L
JL
D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed