title: Upside down use of Gore Excluder or Cook Zenith legs.
abstract: OBJECTIVE
  Endovascular aneurysm repair is becoming increasingly popular. This technical note describes the usefulness of the upside-down technique of Gore Excluder or Cook Zenith legs.
  
  
  METHODS
  Four patients with iliac or abdominal aortic aneurysms were treated. Three patients with isolated iliac artery aneurysms and one patient with an abdominal aortic aneurysm, in which the neck diameters were unfit for commercially available stent-grafts, were treated using an Excluder or a Zenith leg in an upside-down technique.
  
  
  RESULTS
  The aneurysms were completely excluded and no endoleak occurred. There were no serious adverse events.
  
  
  CONCLUSIONS
  The upside-down technique using an Excluder leg or a Zenith leg is both feasible and effective.
authors.affiliation: Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan, higashikawat@clin.medic.mie-u.ac.jp.
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Higashigawa
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Kato
authors.forename: Takashi
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Mikito
authors.initials: M
authors.lastname: Inouchi
authors.forename: Shuji
authors.initials: S
authors.lastname: Chino
authors.forename: Naoki
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Uhito
authors.initials: U
authors.lastname: Yuasa
authors.forename: Toshiya
authors.initials: T
authors.lastname: Tokui
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Noda
authors.forename: Kensuke
authors.initials: K
authors.lastname: Oue
authors.forename: Manabu
authors.initials: M
authors.lastname: Okabe
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome