Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device

2021 ◽  
pp. 152660282110364
Author(s):  
Yuta Murai ◽  
Yukio Tamura ◽  
Yuki Tanaka ◽  
Kouki Nakashima ◽  
Kagami Miyaji
Keyword(s):  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Proximal Migration ◽  
Flow Divider ◽  
Internal Iliac ◽  
Pull Through ◽  
Aneurysm Repair

Purpose: Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD). Case Report: In this report, we discuss the case of a patient in whom the bilateral limbs were completely displaced into the aortic aneurysm due to proximal migration of the iliac limb after EVAR. By taking advantage of the characteristics of this migration, we formed a pull-through wire through the native terminal aorta without passing through the flow divider of the stent graft, and the IBD was deployed safely. Conclusion: The present case indicates that the preservation of at least 1 internal iliac artery is possible in patients with CIA dilation due to proximal migration of the iliac limb. However, the unique features of each case must be considered to determine the appropriate approach.

scholarly journals Bilateral Internal Iliac Artery Interruption Is Safe in Patients Undergoing Endovascular Aortic Aneurysm Repair

2021 ◽  
Vol 74 (3) ◽  
pp. e95-e96
Author(s):  
Heepeel Chang ◽  
Frank J. Veith ◽  
Caron B. Rockman ◽  
Neal S. Cayne ◽  
Glenn R. Jacobowitz ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Endovascular Aortic Aneurysm Repair ◽  
Internal Iliac ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

scholarly journals Internal iliac artery sacrifice during endovascular abdominal aortic aneurysm repair

Vessel Plus ◽  
2020 ◽  
Vol 2020 ◽  
Author(s):  
Baker Ghoneim ◽  
Patrick Canning ◽  
Yogesh Acharya ◽  
Niamh Hynes ◽  
Wael Tawfick ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Abdominal Aortic Aneurysm Repair ◽  
Abdominal Aortic ◽  
Internal Iliac ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Up-and-Over Technique for Implantation of Iliac Branch Devices After Prior Aortic Endograft Repair

2018 ◽  
Vol 25 (1) ◽  
pp. 21-27 ◽  
Author(s):  
David L. Dawson ◽  
Giuliano de Almeida Sandri ◽  
Emanuel Tenorio ◽  
Gustavo S. Oderich
Keyword(s):  
Stent Graft ◽  
Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Covered Stent ◽  
Femoral Access ◽  
Aortic Stent Graft ◽  
Flow Divider ◽  
Device Placement ◽  
Internal Iliac ◽  
Aneurysm Repair

Purpose: To describe a modified up-and-over access technique for treatment of iliac artery aneurysms in patients with prior bifurcated stent-grafts for endovascular aneurysm repair (EVAR). Technique: This technique uses a coaxial 12-F flexible sheath that is docked with a through-and-through wire into a 7-F sheath advanced from the contralateral femoral approach. This maneuver allows both sheaths to be moved as a unit while maintaining position of the apex of the system as it loops over the flow divider, avoiding damage to or displacing the extant endograft. Once the 12-F sheath is positioned in the iliac limb of the aortic stent-graft and secured in place with the through-and-through wire, the repair is extended into the internal iliac artery using a bridging stent-graft or covered stent introduced via a coaxial sheath. Conclusion: The up-and-over technique with a flexible 12-F sheath mated with a 7-F sheath from the opposite side allows bilateral femoral access to be used for iliac branch device placement after prior aortic endograft procedures that create a higher, acutely angled bifurcation. Use of a through-and-through wire and a coaxial sheath for stent delivery creates a very stable platform for intervention.

scholarly journals Use of Bilateral Cook Zenith Iliac Branch Devices to Preserve Internal Iliac Artery Flow During Endovascular Aneurysm Repair

2019 ◽  
Vol 69 (3) ◽  
pp. 972
Author(s):  
P. Marques de Marino ◽  
B. Botos ◽  
G. Kouvelos ◽  
E.L.G. Verhoeven ◽  
A. Katsargyris
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Internal Iliac ◽  
Artery Flow ◽  
Aneurysm Repair
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