Key result
Off-label reversed Cook Zenith stent-graft successfully treats a common iliac artery aneurysm in one patient.
Case Report (n=1)
Demonstrates the feasibility of using a reversed, tapered extension limb stent-graft for endovascular exclusion of a common iliac artery aneurysm.
Off-label reversed tapered stent-graft succeeded in one iliac aneurysm case; hypothesis-generating and should not yet change practice.
Open iliac aneurysm repair has been historically associated with major morbidity and mortality. The introduction of endovascular devices and techniques has expanded the armamentarium available to treat these aneurysms, and several methods have been reported. However, the off-label use of a commercially available, flared extension limb stent-graft to treat a common iliac artery aneurysm (CIA) by preliminary extracorporeal predeployment, endograft reversal, and reinsertion into the delivery sheath to fashion a tapered endograft has not been previously reported. A case report of a CIA aneurysm diagnosed 9 years after transperitoneal tube graft abdominal aortic aneurysm repair treated with ipsilateral hypogastric artery occlusion with an Amplatzer plug and placement of a reversed, tapered extension limb stent-graft is herein presented.
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Leon et al. (2008) conducted a case report in Common iliac artery aneurysm (n=1). Off-label use of a reversed Cook Zenith extension limb stent-graft and Amplatzer plug was evaluated on Successful endovascular exclusion of the aneurysm. Off-label use of a reversed, tapered Cook Zenith extension limb stent-graft successfully treated a common iliac artery aneurysm in a single patient.
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