Endovascular bilateral evolutive common iliac artery aneurysm repair using a zenith branch graft through a combined femoro-brachial approach in a patient with previous EVAR.
BACKGROUND
To report treatment of bilateral evolutive iliac artery aneurysms three years after EVAR.


METHODS
Three years following uncomplicated Zenith AAA stent-graft placement, the patient presented with aneurysmal common iliac arteries. Through a combined femoro-brachial approach, both iliac artery aneurysms were excluded, and a Zenith branch graft was placed to preserve the left hypogastric artery. The procedure was technically successful and free from complication. One year post-procedure, the Zenith branch graft remains stable.


CONCLUSIONS
A combined femoro-brachial approach, with iliac branch graft placement, offered a solution to a challenging scenario.
Bellandi
G
G
Vascular Surgery Unit, San Donato Hospital, Via Pietro Nenni, 20-52100, Arezzo, Italy. guidobellandi@gmail.com
Ventoruzzo
G
G
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D001916:Brachial Artery / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000209:etiology / Q000601:surgery*; D008297:Male; D012086:Reoperation