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Preservation of Internal Iliac Artery after Endovascular Repair of Common Iliac Artery Dissection Using Modified Fenestrated Stent Graft

  • Zha, Binshan (Department of Vascular Surgery, First Affiliated Hospital of Anhui Medical University) ;
  • Zhu, Huagang (Department of Vascular Surgery, First Affiliated Hospital of Anhui Medical University) ;
  • Liu, Bin (Department of Vascular Surgery, First Affiliated Hospital of Anhui Medical University) ;
  • Ye, Yusheng (Department of Vascular Surgery, First Affiliated Hospital of Anhui Medical University) ;
  • Li, Jun (Department of Vascular Surgery, First Affiliated Hospital of Anhui Medical University)
  • Received : 2015.07.07
  • Accepted : 2015.08.19
  • Published : 2016.05.30

Abstract

Standard endovascular repair of iliac/aortoiliac pathologies can lead to complications, such as buttock claudication, colon ischemia and erectile dysfunction. Branch grafts have been developed but require at least 6 weeks for customization and are not currently available in China; they are also quite expensive. To our knowledge, modified fenestrated stent grafts (MFSGs) are a safe and effective alternative for treating patients with juxtarenal aneurysms. Most MFSGs are used for the preservation of renal and left subclavian arteries. Few cases of MFSGs have been reported in the treatment of iliac pathologies. The use of an MFSG is decided on a case-by-case basis. This report presents our first clinical use of an MFSG for preservation of the internal iliac artery.

Keywords

References

  1. Kwak HS, Han YM, Chung GH, Yu HC, Jeong YJ. Isolated spontaneous dissection of the common iliac artery: percutaneous stent placement in two patients. Cardiovasc Intervent Radiol 2006;29:883-5. https://doi.org/10.1007/s00270-005-0087-z
  2. Farahmand P, Becquemin JP, Desgranges P, Allaire E, Marzelle J, Roudot-Thoraval F. Is hypogastric artery embolization during endovascular aortoiliac aneurysm repair (EVAR) innocuous and useful? Eur J Vasc Endovasc Surg 2008;35:429-35. https://doi.org/10.1016/j.ejvs.2007.12.001
  3. Parlani G, Verzini F, De Rango P, et al. Long-term results of iliac aneurysm repair with iliac branched endograft: a 5-year experience on 100 consecutive cases. Eur J Vasc Endovasc Surg 2012;43:287-92. https://doi.org/10.1016/j.ejvs.2011.12.011
  4. Oderich GS, Ricotta JJ 2nd. Novel surgeon-modified hypogastric branch stent graft to preserve pelvic perfusion. Ann Vasc Surg 2010;24:278-86. https://doi.org/10.1016/j.avsg.2009.10.007
  5. Honjo O, Yamada Y, Kuroko Y, Kushida Y, Une D, Hioki K. Spontaneous dissection and rupture of common iliac artery in a patient with fibromuscular dysplasia: a case report and review of the literature on iliac artery dissections secondary to fibromuscular dysplasia. J Vasc Surg 2004;40:1032-6. https://doi.org/10.1016/j.jvs.2004.08.020
  6. Cook PS, Erdoes LS, Selzer PM, Rivera FJ, Palmaz JC. Dissection of the external iliac artery in highly trained athletes. J Vasc Surg 1995;22:173-7. https://doi.org/10.1016/S0741-5214(95)70113-3
  7. Kwon SH, Oh JH. Successful interventional treatment of a spontaneous right common iliac artery dissection extending retrogradely into the left external iliac artery. J Vasc Interv Radiol 2006;17:717-21. https://doi.org/10.1097/01.RVI.0000203919.91135.BD
  8. Stone PA, Campbell JE, Hass SM, Jain A, Kazmi H. Kissing iliac artery stent technique for salvage of hypogastric artery occlusion secondary to iliac artery dissection during endovascular aneurysm repair. Vasc Endovascular Surg 2011;45:174-7. https://doi.org/10.1177/1538574410377240
  9. Lee CW, Kaufman JA, Fan CM, et al. Clinical outcome of internal iliac artery occlusions during endovascular treatment of aortoiliac aneurysmal diseases. J Vasc Interv Radiol 2000;11:567-71. https://doi.org/10.1016/S1051-0443(07)61607-8
  10. Oderich GS, Ricotta JJ 2nd. Modified fenestrated stent grafts: device design, modifications, implantation, and current applications. Perspect Vasc Surg Endovasc Ther 2009;21:157-67. https://doi.org/10.1177/1531003509351594
  11. Ricotta JJ 2nd, Tsilimparis N. Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients. J Vasc Surg 2012;56:1535-42. https://doi.org/10.1016/j.jvs.2012.05.096
  12. Starnes BW. Physician-modified endovascular grafts for the treatment of elective, symptomatic, or ruptured juxtarenal aortic aneurysms. J Vasc Surg 2012;56:601-7. https://doi.org/10.1016/j.jvs.2012.02.011
  13. Redlinger RE Jr, Ahanchi SS, Panneton JM. In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization. J Vasc Surg 2013;58:1171-7. https://doi.org/10.1016/j.jvs.2013.04.045
  14. Naughton PA, Park MS, Kheirelseid EA, et al. A comparative study of the bell-bottom technique vs hypogastric exclusion for the treatment of aneurysmal extension to the iliac bifurcation. J Vasc Surg 2012;55:956-62. https://doi.org/10.1016/j.jvs.2011.10.121
  15. Lobato AC, Camacho-Lobato L. The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms: results of midterm follow-up. J Vasc Surg 2013;57(2 Suppl):26S-34.

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