EVAR in iliac occlusion
- PMID: 17291146
- DOI: 10.1583/06-1925.1
EVAR in iliac occlusion
Abstract
Purpose: To report the recanalization of an occluded common iliac artery (CIA) to allow endovascular repair of an abdominal aortic aneurysm (AAA) with a bifurcated stent-graft.
Case report: A 76-year-old man with a 75-mm infrarenal AAA and an occluded right CIA was successfully treated with a Zenith bifurcated stent-graft. The right CIA was recanalized allowing access, delivery, and deployment of the stent-graft. Follow-up computed tomography at 9 months showed no evidence of endoleak; maximum aneurysm diameter was reduced to 72 mm, and the iliac vessels were patent.
Conclusion: Bifurcated stent-graft repair of an AAA can be performed following recanalization of an occluded CIA. This option may be preferable to an open repair or an aortomonoiliac stent-graft with extra-anatomical bypass in some patients. Long-term surveillance will be necessary to ensure freedom from iliac-related secondary intervention.
Similar articles
-
Iliac artery recanalization of chronic occlusions to facilitate endovascular aneurysm repair.J Vasc Surg. 2012 Dec;56(6):1549-54; discussion 1554. doi: 10.1016/j.jvs.2012.05.089. Epub 2012 Sep 7. J Vasc Surg. 2012. PMID: 22960023
-
Using bifurcated endoprosthesis after iliac artery recanalization for concomitant abdominal aortic aneurysm and chronic total occlusions of access routes.J Vasc Surg. 2019 Jul;70(1):117-122. doi: 10.1016/j.jvs.2018.08.191. Epub 2018 Dec 13. J Vasc Surg. 2019. PMID: 30553731
-
Endovascular repair of an abdominal aortic aneurysm in a patient with stenosis of bilateral common iliac artery stents.Ann Vasc Surg. 2011 Jan;25(1):133.e9-12. doi: 10.1016/j.avsg.2010.07.002. Ann Vasc Surg. 2011. PMID: 20889292
-
Shifting Wallgraft position: case reports and review of the forces affecting Wallgraft positioning.J Vasc Surg. 2006 Feb;43(2):383-7. doi: 10.1016/j.jvs.2005.10.041. J Vasc Surg. 2006. PMID: 16476619 Review.
-
Unveiling the uncommon: hypoplasia of external iliac artery-a case report and literature review.J Cardiothorac Surg. 2025 Jan 4;20(1):7. doi: 10.1186/s13019-024-03202-y. J Cardiothorac Surg. 2025. PMID: 39755634 Free PMC article. Review.
Cited by
-
Endovascular repair of an abdominal aortic aneurysm using bifurcated stent-graft in a patient with bilateral external iliac artery occlusion.Acta Biomed. 2019 Jan 24;90(1):122-126. doi: 10.23750/abm.v90i1.6605. Acta Biomed. 2019. PMID: 30889166 Free PMC article.
-
Successful treatment of an abdominal aortic aneurysm by endovascular graft placement through a previously placed prosthetic graft: Report of a case.Surg Today. 2010 Dec;40(12):1169-72. doi: 10.1007/s00595-009-4184-5. Epub 2010 Nov 26. Surg Today. 2010. PMID: 21110163
-
Technical tips and procedural steps in endovascular aortic aneurysm repair with concomitant recanalization of iliac artery occlusions.Springerplus. 2013 Nov 13;2:605. doi: 10.1186/2193-1801-2-605. eCollection 2013. Springerplus. 2013. PMID: 24294549 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
