Hybrid treatment of aortic bifurcation aneurysm

The success of endovascular treatments mostly depends on anatomical suitability. Secure neck and iliac landing zones are required to avoid of endoleaks. Common iliac artery aneurysms frequently extend to the iliac bifurcation and complicates endovascular interventions. We report a hybrid operation o...

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Bibliographic Details
Published in:Kardiyovasküler tıp e dergisi 2017-09, Vol.5 (3), p.50-53
Main Authors: Yıldırım, Funda, Amanvermez Şenarslan, Dilşad, Kurdal, Adnan Taner
Format: Article
Language:English
Subjects:
Abdomen
Aneurysms
Case reports
Literature reviews
Patients
Stents
Veins & arteries
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Summary:The success of endovascular treatments mostly depends on anatomical suitability. Secure neck and iliac landing zones are required to avoid of endoleaks. Common iliac artery aneurysms frequently extend to the iliac bifurcation and complicates endovascular interventions. We report a hybrid operation of an abdominal bifurcation and extremely angulated iliac artery aneurysm that aneurysmatic segments involving both internal iliac arteries (IAA). We excluded the aneurysm by an uniiliac endovascular stent graft and contralateral IIA flow was supplied by retrograde filling from femoro-femoral bypass after ligation contralateral common iliac artery via retroperitoneal approach. It is important to consider alternative treatment modalities and in cases with extreme anatomic variations, to choose a hybrid endovascular approach may be the most feasible and less invasive.
ISSN:2147-1924
2147-1924
DOI:10.15511/ejcm.17.00350