Custom-Made Bifurcated Prosthetic Graft for Aortoiliac Aneurysm Repair.

Natasa Kouri,Chrysanthi Papageorgopoulou,Ioannis Ntouvas,Polyzois Tsantrizos,Stavros K Kakkos,Spyros Papadoulas,Konstantinos Nikolakopoulos

doi:10.1055/s-0041-1725090

Natasa Kouri, Chrysanthi Papageorgopoulou + Show 5 more

Open Access

https://doi.org/10.1055/s-0041-1725090

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Abstract

Revascularization of the internal iliac artery during open repair of aortoiliac aneurysms can be challenging, especially if there is a significant distance between the orifices of the internal and external iliac arteries owing to common iliac aneurysmal dilatation. We describe a technique involving insertion of an 18-mm tube graft between the proximal aortic neck and aneurysmal common iliac artery bifurcation. Revascularization of the contralateral external iliac artery is accomplished through an 8-mm side arm graft.

Highlights

Despite the evolution of endovascular techniques, repair of aortoiliac aneurysms is still performed by open surgery in a significant number of patients, those with prolonged expected survival
We describe a technique involving insertion of an 18-mm tube graft between the proximal aortic neck and aneurysmal common iliac artery bifurcation
Significant aneurysmal degeneration of the distal common iliac artery may lead to displacement of the orifices of the external and internal iliac arteries (EIA and IIA, respectively), making a formal end-to-end anastomosis with the graft limb of a bifurcated graft unsafe or even impossible

Summary

Introduction

Despite the evolution of endovascular techniques, repair of aortoiliac aneurysms is still performed by open surgery in a significant number of patients, those with prolonged expected survival. Significant aneurysmal degeneration of the distal common iliac artery may lead to displacement of the orifices of the external and internal iliac arteries (EIA and IIA, respectively), making a formal end-to-end anastomosis with the graft limb of a bifurcated graft unsafe or even impossible. Several modifications of endovascular and open repair techniques have been described in the literature devised to overcome this problem. We describe an additional modification of the open reconstruction

Technique and Results

Discussion

Conclusion