title: Endovascular repair of abdominal aortic aneurysm using bifurcated stent-graft in a patient with complete occlusion from the common to the external iliac artery.
abstract: Extensive iliofemoral occlusive disease can limit the use of endovascular aortic aneurysm repair (EVAR), and the treatment strategy varies depending on severity of the lesion. In cases of mild iliac artery (IA) stenosis, predilation using a balloon catheter before EVAR is relatively common, and for severe IA stenosis, the technique of internal endoconduits has been reported with good results. In contrast, EVAR using an aortouni-iliac stent graft with femorofemoral crossover bypass has traditionally been used for abdominal aortic aneurysm with IA occlusion. However, EVAR using a bifurcated stent graft has some clear advantages over aortouni-iliac stent grafts. In this report, we describe and discuss technical aspects and feasibility of chronically occluded iliac artery recanalization before EVAR to facilitate the use of bifurcated stent grafts in a patient with concomitant complete common to external IA occlusion.
authors.affiliation: Department of Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Fujimura
authors.affiliation: Department of Vascular Surgery, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan. Electronic address: hharada@tdc.ac.jp.
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Harada
authors.affiliation: Department of Radiology, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Yashiro
authors.affiliation: Department of Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Takurin
authors.initials: T
authors.lastname: Akiyoshi
authors.affiliation: Department of Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Motohito
authors.initials: M
authors.lastname: Nakagawa
authors.affiliation: Department of Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Kanai
authors.affiliation: Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Obara
authors.affiliation: Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kitagawa
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D003251:Constriction, Pathologic; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome