title: Off-Label Iliac Side Branch Application for Salvage of an Accessory Renal Artery.
abstract: OBJECTIVE
  To present the off-label use of an iliac side branch device to connect an accessory right renal artery to a bifurcated endograft in infrarenal aortic aneurysm repair.
  
  
  METHODS
  An 83-year-old woman with a 54-mm infrarenal abdominal aortic aneurysm underwent endovascular repair using an iliac side branch device for accessory renal artery salvage. The procedure was technically successful, and no immediate perioperative adverse events were encountered. The creatinine level increased slightly. Six-month follow-up imaging revealed no endoleaks or occlusion.
  
  
  CONCLUSIONS
  Considering the higher perioperative risk associated with open or hybrid procedures for similar cases, this off-label application of a well-recognized endovascular device deserves consideration as an alternative treatment option.
authors.affiliation: Department of Vascular and Endovascular Surgery, Wilhelminenspital, Vienna, Austria fadi.taher@gmail.com.
authors.forename: Fadi
authors.initials: F
authors.lastname: Taher
authors.affiliation: Department of Vascular and Endovascular Surgery, Wilhelminenspital, Vienna, Austria.
authors.forename: Colleen
authors.initials: C
authors.lastname: Rentenberger
authors.affiliation: Department of Vascular and Endovascular Surgery, Wilhelminenspital, Vienna, Austria Sigmund Freud University, Vienna, Austria.
authors.forename: Juergen
authors.initials: J
authors.lastname: Falkensammer
authors.affiliation: Department of Vascular and Endovascular Surgery, Wilhelminenspital, Vienna, Austria.
authors.forename: Kornelia
authors.initials: K
authors.lastname: Hirsch
authors.affiliation: Department of Vascular and Endovascular Surgery, Wilhelminenspital, Vienna, Austria.
authors.forename: Afshin
authors.initials: A
authors.lastname: Assadian
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging
keywords: abdominal aortic aneurysm; accessory renal artery; endovascular aneurysm repair; iliac side branch; off-label use