title: Endovascular Reconstruction of Aortoiliac Occlusive Disease with an Aberrant Pelvic Kidney.
abstract: Aortoiliac occlusive disease coincident with a congenital ectopic pelvic kidney is a rare occurrence. Traditionally, the treatment has been open aortobifemoral repair with reimplantation of the renal artery. We present a patient with Trans-Atlantic Inter-Society Consensus (TASC) D bilateral aortoiliac occlusive disease, an ectopic pelvic kidney, and prohibitive medical comorbidities. We describe a totally endovascular repair using a chronic total occlusion crossing device, a luminal re-entry device, and balloon-mounted covered stents to revascularize the lower extremities and the ectopic pelvic kidney. We discuss various aspects of this endovascular approach as the incidence of patients with TASC D lesions and prohibitive comorbidities continue to rise.
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL. Electronic address: Chaitanya.Vadlamudi@gunet.georgetown.edu.
authors.forename: Chaitanya
authors.initials: C
authors.lastname: Vadlamudi
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL.
authors.forename: Veer
authors.initials: V
authors.lastname: Chahwala
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL.
authors.forename: Enrique J
authors.initials: EJ
authors.lastname: Moreno
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL.
authors.forename: Jane K
authors.initials: JK
authors.lastname: Yang
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL.
authors.forename: Arash
authors.initials: A
authors.lastname: Bornak
authors.affiliation: Department of Surgery, University of Miami, Coral Gables, FL.
authors.forename: Lee
authors.initials: L
authors.lastname: Goldstein
mesh_terms: D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D007668:Kidney; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome