TY - JOUR
T1 - Aorto uni-iliac modification of a bifurcated stent graft for endovascular aneurysm repair
T2 - Expanding the versatility of a modular device
AU - Sampaio, Sergio M.M.
AU - Panneton, Jean M.
AU - Brink, Jeromy S.
AU - Andrews, James C.
AU - McKusick, Michael C.
AU - Gloviczki, Peter
PY - 2006/3
Y1 - 2006/3
N2 - As endografting technology advances, anatomical constraints limiting access and deployment have become less of a burden. While unsuitable candidates for endografting exist, these patients are becoming less frequent. To broaden the applicability of endovascular abdominal aortic aneurysm repair (EVAR), we have modified the bifurcated AneuRx™ device into a unilimb modular prosthesis, by placing an aortic extender cuff across the flow divider, thus excluding its contralateral limb. This technique was used with success in 3 groups of patients: with occlusion of 1 iliac artery, with a nontraversable iliac stenosis, or with a small calcific aortic bifurcation. In these patients, anatomy can make it difficult, if not impossible, to place a bifurcated stent graft. Whether as a planned preoperative procedure or as a "bail-out" maneuver, this procedure has been successful in avoiding open surgical conversion.
AB - As endografting technology advances, anatomical constraints limiting access and deployment have become less of a burden. While unsuitable candidates for endografting exist, these patients are becoming less frequent. To broaden the applicability of endovascular abdominal aortic aneurysm repair (EVAR), we have modified the bifurcated AneuRx™ device into a unilimb modular prosthesis, by placing an aortic extender cuff across the flow divider, thus excluding its contralateral limb. This technique was used with success in 3 groups of patients: with occlusion of 1 iliac artery, with a nontraversable iliac stenosis, or with a small calcific aortic bifurcation. In these patients, anatomy can make it difficult, if not impossible, to place a bifurcated stent graft. Whether as a planned preoperative procedure or as a "bail-out" maneuver, this procedure has been successful in avoiding open surgical conversion.
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U2 - 10.1177/153857440604000203
DO - 10.1177/153857440604000203
M3 - Article
C2 - 16598357
AN - SCOPUS:33747829004
SN - 1538-5744
VL - 40
SP - 103
EP - 107
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 2
ER -