This case report demonstrates the feasibility of using an inverted Ovation iX limb for the endovascular treatment of an isolated common iliac artery aneurysm with reverse-tapered morphology.
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May expand options for reverse-tapered iliac aneurysms; hypothesis-generating and requires prospective validation before wider use.
In recent years, endovascular aneurysm repair has become the predominant method of managing abdominal aortic and common iliac artery aneurysms. Off-label use of different endovascular devices has allowed them to remain a viable option in many cases of atypical anatomy. Some studies have reported the use of iliac devices in an upside-down configuration when the common iliac artery aneurysm has a reverse-tapered morphology. However, the use of the Ovation iX (Endologix) limb in an upside-down configuration has not yet been reported. This limb offers a 14 mm distal end when inverted and offers good patency in the tortuous iliac morphology. This case report describes and illustrates the precise deployment of an inverted Ovation iX limb to treat an isolated common iliac artery aneurysm.
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Ashkar et al. (2024) studied this question.
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