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Describes an alternative endovascular technique for AAA repair in patients with unsuitable anatomy for standard straight or bifurcated grafts.
Endoluminal transfemoral repair of abdominal aortic aneurysm (AAA) is an important development but large aneurysms seldom have a distal neck suitable for the currently available devices for a straight aortoaortic graft1–3. A bifurcated graft system overcomes the limitation of lack of distal neck but it is unsuitable for a significant proportion of aneurysms because of a wide or aneurysmal iliac vessel1. An alternative technique of aorto-uni-iliac graft with occlusion of the contralateral common iliac with embolization and a femorofemoral crossover graft is described.
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Yusuf et al. (1995) studied this question.
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