Iliac side branch technique for repair of bilateral iliac artery aneurysms associated with a congenital pelvic kidney

2021 ◽  
Author(s):  
Carlos Veterano ◽  
Carlos Veiga ◽  
Rui Almeida ◽  
Pedro Sá Pinto
Keyword(s):  
Iliac Artery ◽  
Side Branch ◽  
Pelvic Kidney

scholarly journals Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Guilherme Centofanti ◽  
Kenji Nishinari ◽  
Bruna De Fina ◽  
Rafael Noronha Cavalcante ◽  
Mariana Krutman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Iliac Artery ◽  
Computed Tomography Angiography ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Maximum Diameter ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Common Iliac Artery Aneurysm

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

scholarly journals Iliac Artery Aneurysm Repair with Preservation of a Single Ectopic Pelvic Kidney

2015 ◽  
Vol 42 (1) ◽  
pp. 61-62
Author(s):  
Aurelio Sarralde ◽  
Carolina Perez-Negueruela ◽  
José M. Bernal
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Saline Solution ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Systemic Circulation ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Cold Saline ◽  
One Year

An ultrasonographic study in a 60-year-old man incidentally detected an iliac artery aneurysm that gave rise to the renal artery of a single ectopic pelvic kidney. Renal-preservation solution could not be used during surgery, because the unclamped renal vein would have enabled the solution to enter the systemic circulation. Therefore, cold saline solution was infused through the renal ostium, and the kidney was maintained under cold saline immersion. We performed aortoiliac bypass and then implanted the renal artery into the bypass graft. Postoperatively, the patient's serum creatinine level increased; after one year, his renal function was normal. We discuss our use of cold saline solution for renal preservation.

Ectopic pelvic kidney and its renal artery from the common iliac artery

2020 ◽  
Vol 69 (4) ◽  
pp. 249
Author(s):  
SevdaLafci Fahrioglu ◽  
Musa Muhtaroglu ◽  
Selda Onderoglu ◽  
Sezgin Ilgi
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Pelvic Kidney ◽  
The Common

scholarly journals AA10. Safety, Feasibility, and Efficacy of the Gore Excluder Side Branch Endoprosthesis in the Treatment of Aortobi-Iliac Aneurysms With Preservation of the Internal Iliac Artery in 23 Consecutive Patients

2018 ◽  
Vol 68 (5) ◽  
pp. e138
Author(s):  
Johannes N. Hoffmann ◽  
Ahmed Soliman ◽  
Johannes Bernheim ◽  
Benjamin Juntermanns ◽  
Konstantinos Karaindros ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Side Branch ◽  
Internal Iliac

Retrograde Fenestration of Endoluminal Grafts from Target Vessels: Feasibility, Technique, and Potential Usage

2003 ◽  
Vol 10 (5) ◽  
pp. 946-952 ◽  
Author(s):  
Richard G. McWilliams ◽  
Shirley J. Fearn ◽  
Peter L. Harris ◽  
David Hartley ◽  
James B. Semmens ◽  
...  
Keyword(s):  
Stent Graft ◽  
Iliac Artery ◽  
Side Branch ◽  
Target Vessel ◽  
Puncture Site ◽  
Cutting Balloon ◽  
Canine Models ◽  
Performance Times ◽  
Cutting Needle

Purpose: To report initial experiments involving a new method for percutaneous intraprocedural stent-graft fenestration from the target vessel. Technique: In bench and canine models, the fabric of an implanted Zenith endograft was punctured easily using the stiff end of a coronary 0.014-inch guidewire delivered through the target vessel (e.g., renal or iliac artery). A 20-G cutting needle was passed over the coronary wire to enlarge the puncture site, followed by a cutting balloon to create a fenestration that was of sufficient size to allow deployment of a stent. Conclusions: In vivo endograft fenestration of a Zenith endograft is feasible. In addition to providing a percutaneous means of intentionally fenestrating a stent-graft from the artery to be perfused, the technique has potential application as a bailout maneuver after inadvertent side branch occlusion. Although the time to achieve successful fenestration in the experimental model was long, refinement may achieve performance times adequate to maintain viability of the end organ.

scholarly journals Iliac side branch device for bilateral endovascular exclusion of isolated common iliac artery aneurysms without brachial access

2009 ◽  
Vol 49 (1) ◽  
pp. 225 ◽  
Author(s):  
Giulio Illuminati ◽  
Antonio D'Urso ◽  
Gianluca Ceccanei ◽  
Maria Antonietta Pacilè
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Side Branch

Repair of Bilateral Iliac Artery Aneurysms Associated with a Congenital Pelvic Kidney

2001 ◽  
Vol 35 (6) ◽  
pp. 463-467 ◽  
Author(s):  
Scott T. Rehrig ◽  
James M. Goff ◽  
Neal C. Hadro ◽  
David L. Gillespie ◽  
Sean D. O'Donnell ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Pelvic Kidney

Sinusoidal Cells in Bone Marrow Take Up BSA-Au Conjugates in the Presence of an Artificial Blood Substitute

1985 ◽  
Vol 43 ◽  
pp. 700-701
Author(s):  
J.S. Geoffroy ◽  
R.P. Becker
Keyword(s):  
Bone Marrow ◽  
Los Angeles ◽  
Iliac Artery ◽  
Blood Substitute ◽  
Sprague Dawley ◽  
Coated Pits ◽  
Sinusoidal Cells ◽  
Artificial Blood ◽  
Left Common Iliac Artery

The pattern of BSA-Au uptake in vivo by endothelial cells of the venous sinuses (sinusoidal cells) of rat bone marrow has been described previously. BSA-Au conjugates are taken up exclusively in coated pits and vesicles, enter and pass through an “endosomal” compartment comprised of smooth-membraned tubules and vacuoles and cup-like bodies, and subsequently reside in multivesicular and dense bodies. The process is very rapid, with BSA-Au reaching secondary lysosmes one minute after presentation. (Figure 1)In further investigations of this process an isolated limb perfusion method using an artificial blood substitute, Oxypherol-ET (O-ET; Alpha Therapeutics, Los Angeles, CA) was developed. Under nembutal anesthesia, male Sprague-Dawley rats were laparotomized. The left common iliac artery and vein were ligated and the right iliac artery was cannulated via the aorta with a small vein catheter. Pump tubing, preprimed with oxygenated 0-ET at 37°C, was connected to the cannula.

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