Key result
Hybrid reversed endograft with double-barrel technique successfully treats common iliac aneurysm after prior aortic repair.
Why the study?
Surgical repair of common iliac artery aneurysm after previous open aortic reconstruction carries high morbidity and mortality, while endovascular options are challenging when internal iliac artery preservation is required.
Case Report (n=1)
A hybrid approach using a reversed iliac limb endograft and double-barrel technique with femoro-femoral crossover bypass can successfully treat common iliac artery aneurysms in patients with prior open aortic reconstruction.
Hybrid repair may be feasible after prior aortic reconstruction; leaves open durability and generalizability in larger series.
Surgical repair of a common iliac artery aneurysm (CIA) after previous open aortic reconstruction is associated with significant morbidity and mortality. Endovascular repair is considered less invasive than surgery. However, if preservation of the internal iliac artery (IIA) is required, the applicability of endovascular techniques may represent a challenge and a limitation to the use of standard aortic endografts or iliac branch devices. In these cases, the off-label use of endovascular devices may be an effective alternative. Herein, we report a successful hybrid approach to treat CIA using a reversed iliac limb endograft coupled with a double-barrel technique with femoro-femoral crossover bypass in a patient who had previously undergone open aortic reconstruction.
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Agostinucci et al. (2023) conducted a case report in Common iliac artery aneurysm (n=1). Hybrid approach using a reversed iliac limb endograft coupled with a double-barrel technique with femoro-femoral crossover bypass was evaluated on Successful treatment of common iliac artery aneurysm. A hybrid approach using a reversed iliac limb endograft and double-barrel technique with femoro-femoral crossover bypass successfully treated a common iliac aneurysm in a patient with prior aortic repair.
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