Shu X, Li Z, Wang W, Li X, Wang W. Endovascular treatment of bilateral common iliac artery aneurysms using bifurcated-unibody stent grafts.
Ann Vasc Surg 2014;
28:1790.e5-8. [PMID:
24561211 DOI:
10.1016/j.avsg.2014.02.022]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 01/13/2014] [Accepted: 02/08/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND
Endovascular treatment of bilateral common iliac artery aneurysms (CIAA) is a promising alternative to open surgical repair. However, endovascular treatment is challenging when the CIAAs have short proximal necks and internal iliac artery needs to be preserved.
METHODS/RESULTS
We report a case of a 62-year-old man who presented with bilateral CIAA with short proximal necks, with the right-side aneurysm extended into the internal iliac artery. The aneurysms were successfully excluded by using a bifurcated-unibody stent graft on the left with preservation of its internal iliac artery; a conventional tubular covered stent was used on the right with occlusion of its internal iliac artery. In addition, an aorta-bi-iliac artery stent was used to provide extended proximal landing zones for the iliac stents.
CONCLUSIONS
Endovascular repair using an iliac bifurcated-unibody stent graft can be a useful approach for the treatment of CIAAs. An aorta-bi-iliac endograft may also be needed to provide a reliable landing zone when the proximal neck of the iliac aneurysm is short.
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