Customized endovascular repair of common iliac artery aneurysms

Fig 1. Three-dimensional reconstructed computed tomography (CT) angiogram demonstrating abdominal aortic aneurysm, left common iliac artery (CIA), and left internal iliac artery with propagation of aortic dissection involving the left CIA, external iliac artery, and common femoral artery (CFA).

Fig 2. Coronal cut of computed tomography (CT) angiogram demonstrating infrarenal abdominal aortic dissection and tortuous left common iliac artery (CIA) with associated dissection.

Fig 3. A and B, Placement of 14.5- × 12-mm Gore iliac limb into left common and external iliac arteries. C, Cannulation of the right internal iliac artery over the aortic bifurcation through the iliac branch endograft device. D, Deployment of internal iliac artery limb. E, Completion angiogram showing expansion of the true lumen and obliteration of the false lumen in excluded distal abdominal aorta and left common iliac artery (CIA).

Fig 4. A, Iliac branch endograft being deployed in the right iliac limb of the AFX endograft deployed on the aortic bifurcation. B, Deployment of two Gore endoprostheses in overlapping fashion through right internal iliac artery. C, Completion angiogram with total exclusion of the right common iliac artery (CIA) aneurysm and preserved flow in the right internal iliac artery.