Key result
Bifurcated stent graft EVAR succeeds despite challenging iliac anatomy and prior femoro-femoral bypass.
Case Report (n=1)
A bifurcated stent graft can be used for totally endovascular aortic aneurysm repair in patients with challenging iliac anatomy and prior femoro-femoral bypass.
Hypothesis-generating in complex anatomy; leaves open safety, durability, and generalizability pending larger studies.
A challenging iliac anatomy remains a major obstacle to successful endovascular aortic aneurysm repair. The authors experienced an abdominal aortic aneurysm with bilateral common iliac artery aneurysms in a patient that had undergone femoro-femoral bypass due to left external iliac artery (EIA) occlusion. To treat this patient in a totally endovascular manner, a bifurcated stent graft was used. One iliac limb was deployed in the right internal iliac artery (IIA) and the other in the right EIA; the left IIA was embolized with coils. Here, the authors describe the procedure used and provide technical tips.
No takes yet. Share an insight, caveat, or question.
Kang et al. (2015) conducted a case report in Abdominal aortic aneurysm with bilateral common iliac artery aneurysms and prior femoro-femoral bypass (n=1). Endovascular aortic aneurysm repair using a bifurcated stent graft was evaluated. Endovascular aortic aneurysm repair using a bifurcated stent graft was successfully performed in a patient with challenging iliac anatomy and a prior femoro-femoral bypass.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: