Technique of reversed flared iliac stent graft for iliac aneurysms with discrepant size diameters

Adam H. Power, Javairiah Fatima, Crystal Kavanagh, Gustavo Oderich

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose. Endovascular treatment of iliac artery aneurysms (IAAs) in patients with discrepancy in iliac artery diameters can be challenging because of limited availability of reversed flared stent graft limbs. The authors describe the technique of reversing a Cook Zenith (Bloomington, IN) iliac stent graft extension to accommodate for significant discrepancy in diameter between the common iliac artery (18 mm) and the external iliac artery (11 mm). Technique. A 75-year-old male patient with a 7.3-cm right internal IAA was treated with endovascular exclusion of distal internal iliac artery branches using Amplatzer plugs (AGA Medical Corp, Plymouth, MN) and coverage of the internal iliac artery origin using a reversed 12 × 20 mm Cook Zenith TLFE Iliac extension limb (Bloomington, IN). The 12 × 20 mm iliac extension limb was unsheathed on-site using a strict sterile technique, reversed within the introducer and resheathed. Following percutaneous bilateral femoral access and exclusion of the anterior and posterior divisional branches of the internal iliac artery, the reversed flared iliac limb device was deployed from the distal common to the external iliac artery. Completion angiography and follow-up computed tomography angiography revealed no endoleak. The patient was dismissed on postoperative day 1 without complications. Conclusion. The technique of reversed flared iliac stent graft limb is a feasible option in patients with iliac aneurysms and significant discrepancy in the diameter of the iliac arteries.

Original languageEnglish (US)
Pages (from-to)183-186
Number of pages4
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume22
Issue number3
DOIs
StatePublished - Sep 1 2010

Fingerprint

Iliac Aneurysm
Iliac Artery
Stents
Transplants
Extremities
Endoleak
Thigh
Angiography

Keywords

  • aneurysm
  • iliac
  • isolated
  • limb
  • reverse

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Technique of reversed flared iliac stent graft for iliac aneurysms with discrepant size diameters. / Power, Adam H.; Fatima, Javairiah; Kavanagh, Crystal; Oderich, Gustavo.

In: Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 22, No. 3, 01.09.2010, p. 183-186.

Research output: Contribution to journalArticle

@article{d4a643a9a75f445bb18d8a2f4b92e45b,
title = "Technique of reversed flared iliac stent graft for iliac aneurysms with discrepant size diameters",
abstract = "Purpose. Endovascular treatment of iliac artery aneurysms (IAAs) in patients with discrepancy in iliac artery diameters can be challenging because of limited availability of reversed flared stent graft limbs. The authors describe the technique of reversing a Cook Zenith (Bloomington, IN) iliac stent graft extension to accommodate for significant discrepancy in diameter between the common iliac artery (18 mm) and the external iliac artery (11 mm). Technique. A 75-year-old male patient with a 7.3-cm right internal IAA was treated with endovascular exclusion of distal internal iliac artery branches using Amplatzer plugs (AGA Medical Corp, Plymouth, MN) and coverage of the internal iliac artery origin using a reversed 12 × 20 mm Cook Zenith TLFE Iliac extension limb (Bloomington, IN). The 12 × 20 mm iliac extension limb was unsheathed on-site using a strict sterile technique, reversed within the introducer and resheathed. Following percutaneous bilateral femoral access and exclusion of the anterior and posterior divisional branches of the internal iliac artery, the reversed flared iliac limb device was deployed from the distal common to the external iliac artery. Completion angiography and follow-up computed tomography angiography revealed no endoleak. The patient was dismissed on postoperative day 1 without complications. Conclusion. The technique of reversed flared iliac stent graft limb is a feasible option in patients with iliac aneurysms and significant discrepancy in the diameter of the iliac arteries.",
keywords = "aneurysm, iliac, isolated, limb, reverse",
author = "Power, {Adam H.} and Javairiah Fatima and Crystal Kavanagh and Gustavo Oderich",
year = "2010",
month = "9",
day = "1",
doi = "10.1177/1531003510386495",
language = "English (US)",
volume = "22",
pages = "183--186",
journal = "Perspectives in Vascular Surgery and Endovascular Therapy",
issn = "1531-0035",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Technique of reversed flared iliac stent graft for iliac aneurysms with discrepant size diameters

AU - Power, Adam H.

AU - Fatima, Javairiah

AU - Kavanagh, Crystal

AU - Oderich, Gustavo

PY - 2010/9/1

Y1 - 2010/9/1

N2 - Purpose. Endovascular treatment of iliac artery aneurysms (IAAs) in patients with discrepancy in iliac artery diameters can be challenging because of limited availability of reversed flared stent graft limbs. The authors describe the technique of reversing a Cook Zenith (Bloomington, IN) iliac stent graft extension to accommodate for significant discrepancy in diameter between the common iliac artery (18 mm) and the external iliac artery (11 mm). Technique. A 75-year-old male patient with a 7.3-cm right internal IAA was treated with endovascular exclusion of distal internal iliac artery branches using Amplatzer plugs (AGA Medical Corp, Plymouth, MN) and coverage of the internal iliac artery origin using a reversed 12 × 20 mm Cook Zenith TLFE Iliac extension limb (Bloomington, IN). The 12 × 20 mm iliac extension limb was unsheathed on-site using a strict sterile technique, reversed within the introducer and resheathed. Following percutaneous bilateral femoral access and exclusion of the anterior and posterior divisional branches of the internal iliac artery, the reversed flared iliac limb device was deployed from the distal common to the external iliac artery. Completion angiography and follow-up computed tomography angiography revealed no endoleak. The patient was dismissed on postoperative day 1 without complications. Conclusion. The technique of reversed flared iliac stent graft limb is a feasible option in patients with iliac aneurysms and significant discrepancy in the diameter of the iliac arteries.

AB - Purpose. Endovascular treatment of iliac artery aneurysms (IAAs) in patients with discrepancy in iliac artery diameters can be challenging because of limited availability of reversed flared stent graft limbs. The authors describe the technique of reversing a Cook Zenith (Bloomington, IN) iliac stent graft extension to accommodate for significant discrepancy in diameter between the common iliac artery (18 mm) and the external iliac artery (11 mm). Technique. A 75-year-old male patient with a 7.3-cm right internal IAA was treated with endovascular exclusion of distal internal iliac artery branches using Amplatzer plugs (AGA Medical Corp, Plymouth, MN) and coverage of the internal iliac artery origin using a reversed 12 × 20 mm Cook Zenith TLFE Iliac extension limb (Bloomington, IN). The 12 × 20 mm iliac extension limb was unsheathed on-site using a strict sterile technique, reversed within the introducer and resheathed. Following percutaneous bilateral femoral access and exclusion of the anterior and posterior divisional branches of the internal iliac artery, the reversed flared iliac limb device was deployed from the distal common to the external iliac artery. Completion angiography and follow-up computed tomography angiography revealed no endoleak. The patient was dismissed on postoperative day 1 without complications. Conclusion. The technique of reversed flared iliac stent graft limb is a feasible option in patients with iliac aneurysms and significant discrepancy in the diameter of the iliac arteries.

KW - aneurysm

KW - iliac

KW - isolated

KW - limb

KW - reverse

UR - http://www.scopus.com/inward/record.url?scp=78650201635&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650201635&partnerID=8YFLogxK

U2 - 10.1177/1531003510386495

DO - 10.1177/1531003510386495

M3 - Article

C2 - 21098499

AN - SCOPUS:78650201635

VL - 22

SP - 183

EP - 186

JO - Perspectives in Vascular Surgery and Endovascular Therapy

JF - Perspectives in Vascular Surgery and Endovascular Therapy

SN - 1531-0035

IS - 3

ER -