Abstract
IntroductionAorto-uni-iliac endovascular aneurysm repair is usually accompanied by contralateral iliac occlusion, but access limitations may make plug deployment impossible. ReportA 73-year-old male underwent aorto-uni-iliac endovascular aneurysm repair via left femoral access for a 5.8 cm abdominal aortic aneurysm; the right common iliac artery was occluded by a 16 mm Amplatz Vascular Plug II via a 7Fr Flexor Ansel Sheath, followed by femorofemoral crossover. The aneurysm was successfully excluded with no endoleaks at follow-up. DiscussionAccess limitations are a consideration for both device deployment and contralateral occlusion whilst undertaking aorto-uni-iliac endovascular aneurysm repair. This paper describes a simple and effective method for achieving iliac occlusion when access vessels are stenosed.
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