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Case Reports
. 2022 May;18(5):2382.
doi: 10.48305/arya.2022.11751.2382. Epub 2022 Dec 15.

Endovascular repair of an abdominal aortic aneurysm under local anesthesia using bifurcated stent graft in a patient with iliac artery chronic occlusion:A case report

Seyhan Yilmaz  1 , İsa Çam  2 , Sabür Zengin  3
Affiliations
Case Reports

Endovascular repair of an abdominal aortic aneurysm under local anesthesia using bifurcated stent graft in a patient with iliac artery chronic occlusion:A case report

Seyhan Yilmaz et al. ARYA Atheroscler. 2022 May.

Abstract

Background: There are some clinical conditions described in literature which limit the application of full endovascular aneurysm repair, and the most important of these limitations are inappropriately short and angled aneurysm neck, narrow terminal aorta, and curved and very small diameter or highly calcified iliac arteries that make access difficult, and unilateral iliac artery occlusion is another one of these limitations, which is less frequently observed.

Case report: In our case report, we present a patient whose abdominal aortic aneurysm was considered to be high risk for classical open surgical repair. Our patient has a unilateral iliac artery occlusion co-existing with abdominal aortic aneurysm and the occluded left common iliac artery and severely stenotic external iliac artery segment was applied percutaneous transluminal balloon dilatation and after which abdominal aortic aneurysm was successfully treated with standard endovascular aneurysm repair.

Conclusion: A standard successful endovascular aneurysm repair procedure was applied for the patient who did not develop any intraoperative complications. The left iliac artery blood flow was also ensured by the dilatation of occluded iliac artery segment, simultaneously. When there are such limitations related to the iliac artery as iliac artery occlusion, the standard endovascular aneurysm repair procedure combined with invasive techniques for iliac artery revascularization is a practical and safe treatment option which reduces the procedural morbidity and mortality compared to the other treatment options.

Keywords: Blloon Dilatation; Endovascular Aneurysm Repair; Iliac Artery Occlusive Disease; Surgical Repair.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Preoperative computed tomography arteriography (CTA) scan showing 65mm diametered infrarenal AAA
Figure 2
Figure 2
Preoperative reconstructed 3-dimensional computed tomography arteriography (CTA) scan showing an infrarenal abdominal aortic aneurysm (AAA) with concomitant occlusive disease from the left common iliac artery to the left external iliac artery
Figure 3-4
Figure 3-4
Postoperative reconstructed 3-dimensional computed tomography arteriography (CTA) scans obtained 3 months after repair shows that the left iliac artery is patent
Figure 3-4
Figure 3-4
Postoperative reconstructed 3-dimensional computed tomography arteriography (CTA) scans obtained 3 months after repair shows that the left iliac artery is patent
See this image and copyright information in PMC

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