Hypogastric preservation with Viabahn stent graft during endovascular aneurysm repair

The presence of bilateral iliac aneurysms extending to the iliac bifurcations, in conjunction with an abdominal aortic aneurysm, complicates endovascular repair because of the difficulty of preserving one or both hypogastric arteries. Several open techniques have been suggested for hypogastric prese...

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Bibliographic Details
Published in:Journal of vascular surgery 2011-08, Vol.54 (2), p.504-506
Main Authors: Friedman, Steven G., MD, Wun, Herrick, MD
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - physiopathology
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Diseases of the aorta
Embolization, Therapeutic
Endovascular Procedures - instrumentation
Female
Humans
Iliac Aneurysm - diagnostic imaging
Iliac Aneurysm - physiopathology
Iliac Aneurysm - surgery
Medical sciences
Middle Aged
Pelvis - blood supply
Prosthesis Design
Regional Blood Flow
Stents
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Description
Summary:The presence of bilateral iliac aneurysms extending to the iliac bifurcations, in conjunction with an abdominal aortic aneurysm, complicates endovascular repair because of the difficulty of preserving one or both hypogastric arteries. Several open techniques have been suggested for hypogastric preservation, but they usually involve some type of anatomic or extra-anatomic bypass. Endovascular techniques for hypogastric preservation include branch iliac grafts, chimney grafts, and bellbottom limbs. We report the use of a Viabahn stent graft (W. L. Gore and Associates, Flagstaff, Ariz) within the iliac limb of a Powerlink device (Endologix, Inc, Irvine, Calif) to preserve a hypogastric artery.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.12.048