Complete Ipsilateral Femoral Approach Using an Iliac Branch Device to Preserve a Sole Internal Iliac Artery After Aortic Stent-Graft Placement
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Complete Ipsilateral Femoral Approach Using an Iliac Branch Device to Preserve a Sole Internal Iliac Artery After Aortic Stent-Graft Placement. / Rieß, Henrik Christian; Kölbel, Tilo; Diener, Holger; Heidemann, Franziska; Debus, E Sebastian; Rohlffs, Fiona; Tsilimparis, Nikolaos.
In: J ENDOVASC THER, Vol. 23, No. 5, 10.2016, p. 800-802.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Complete Ipsilateral Femoral Approach Using an Iliac Branch Device to Preserve a Sole Internal Iliac Artery After Aortic Stent-Graft Placement
AU - Rieß, Henrik Christian
AU - Kölbel, Tilo
AU - Diener, Holger
AU - Heidemann, Franziska
AU - Debus, E Sebastian
AU - Rohlffs, Fiona
AU - Tsilimparis, Nikolaos
N1 - © The Author(s) 2016.
PY - 2016/10
Y1 - 2016/10
N2 - PURPOSE: To report implantation of an iliac branch device (IBD) for preserving antegrade blood flow to a sole internal iliac artery (IIA) via an ipsilateral approach during endovascular repair to reline an aortobi-iliac allograft.TECHNIQUE: The technique is described in a 55-year-old man with an enteric fistula involving an aortobi-iliac Y-prosthesis. After complete excision, the prosthesis was replaced by an allograft. Due to rebleeding and resuturing of the graft, total stent-graft relining of the allograft was planned with preservation of the sole left IIA using an iliac side branch (ZBIS). During introduction of a 12-F sheath over the allograft's neobifurcation to establish a femorofemoral through-and-through approach, the allograft ruptured. A compliant balloon was inflated to control the hemorrhage. The IBD was first fully deployed, followed by stent-graft relining. Consequently, stent-graft implantation in the left IIA using a crossover maneuver was no longer feasible, so a 0.035-inch super stiff wire was introduced through the IBD's 20-F sheath. A 12-mm semi-compliant balloon was inflated in the common iliac artery above the iliac branch to act as an abutment for a 7-F sheath to run over the stiff wire into the IIA for delivery/deployment of a stent-graft.CONCLUSION: It is feasible to use a complete ipsilateral femoral approach for IBD implantation after aortic stent-graft placement.
AB - PURPOSE: To report implantation of an iliac branch device (IBD) for preserving antegrade blood flow to a sole internal iliac artery (IIA) via an ipsilateral approach during endovascular repair to reline an aortobi-iliac allograft.TECHNIQUE: The technique is described in a 55-year-old man with an enteric fistula involving an aortobi-iliac Y-prosthesis. After complete excision, the prosthesis was replaced by an allograft. Due to rebleeding and resuturing of the graft, total stent-graft relining of the allograft was planned with preservation of the sole left IIA using an iliac side branch (ZBIS). During introduction of a 12-F sheath over the allograft's neobifurcation to establish a femorofemoral through-and-through approach, the allograft ruptured. A compliant balloon was inflated to control the hemorrhage. The IBD was first fully deployed, followed by stent-graft relining. Consequently, stent-graft implantation in the left IIA using a crossover maneuver was no longer feasible, so a 0.035-inch super stiff wire was introduced through the IBD's 20-F sheath. A 12-mm semi-compliant balloon was inflated in the common iliac artery above the iliac branch to act as an abutment for a 7-F sheath to run over the stiff wire into the IIA for delivery/deployment of a stent-graft.CONCLUSION: It is feasible to use a complete ipsilateral femoral approach for IBD implantation after aortic stent-graft placement.
KW - Angiography
KW - Aorta/diagnostic imaging
KW - Balloon Occlusion
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Device Removal/methods
KW - Duodenal Diseases/diagnostic imaging
KW - Endovascular Procedures/adverse effects
KW - Femoral Artery/physiopathology
KW - Humans
KW - Iliac Artery/diagnostic imaging
KW - Intestinal Fistula/diagnostic imaging
KW - Male
KW - Middle Aged
KW - Prosthesis Design
KW - Radiography, Interventional
KW - Regional Blood Flow
KW - Stents
KW - Treatment Outcome
U2 - 10.1177/1526602816656449
DO - 10.1177/1526602816656449
M3 - SCORING: Journal article
C2 - 27381933
VL - 23
SP - 800
EP - 802
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 5
ER -
