title: A wire-loop technique for implantation of an iliac branched device in a patient with previous surgery for a ruptured abdominal aortic aneurysm.
abstract: We described a modified technique for implanting a bridging stent-graft into an iliac branched device. A 79-year-old male who had received aortobiiliac synthetic graft surgery for a ruptured abdominal aortic aneurysm six months earlier was admitted to our unit for treatment of a left common iliac aneurysm involving the origin of the hypogastric artery. A standard technique was unsuccessful at implanting the bridging stent-graft, and therefore a wire-loop guidewire over the graft bifurcation was used to stabilize the contralateral sheaths and to complete the implantation.
authors.affiliation: Vascular and Endovascular Surgery Unit, University of Palermo, Palermo, Italy. umbertomarcello.bracale@unipa.it
authors.forename: Umberto Marcello
authors.initials: UM
authors.lastname: Bracale
authors.forename: Donatella
authors.initials: D
authors.lastname: Narese
authors.forename: Gaetano
authors.initials: G
authors.lastname: Vitale
authors.forename: Franco
authors.initials: F
authors.lastname: Maglione
authors.forename: Pietro Orlando
authors.initials: PO
authors.lastname: Conti
authors.forename: Guido
authors.initials: G
authors.lastname: Bajardi
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome