Aorto uni-iliac modification of a bifurcated stent graft for endovascular aneurysm repair: Expanding the versatility of a modular device

Sergio M M Sampaio, Jean M. Panneton, Jeromy S. Brink, James C. Andrews, Michael C. McKusick, Peter Gloviczki

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)103-107
Number of pages5
JournalVascular and Endovascular Surgery
Volume40
Issue number2
DOIs
StatePublished - Mar 2006

Fingerprint

Stents
Aneurysm
Transplants
Equipment and Supplies
Preoperative Care
Iliac Artery
Abdominal Aortic Aneurysm
Prostheses and Implants
Anatomy
Pathologic Constriction
Extremities
Technology
bailing

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)
  • Cardiology and Cardiovascular Medicine

Cite this

Aorto uni-iliac modification of a bifurcated stent graft for endovascular aneurysm repair : Expanding the versatility of a modular device. / Sampaio, Sergio M M; Panneton, Jean M.; Brink, Jeromy S.; Andrews, James C.; McKusick, Michael C.; Gloviczki, Peter.

In: Vascular and Endovascular Surgery, Vol. 40, No. 2, 03.2006, p. 103-107.

Research output: Contribution to journalArticle

Sampaio, Sergio M M ; Panneton, Jean M. ; Brink, Jeromy S. ; Andrews, James C. ; McKusick, Michael C. ; Gloviczki, Peter. / Aorto uni-iliac modification of a bifurcated stent graft for endovascular aneurysm repair : Expanding the versatility of a modular device. In: Vascular and Endovascular Surgery. 2006 ; Vol. 40, No. 2. pp. 103-107.
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