Iliac Stent Grafting to Facilitate Distal Suture during Abdominal Aortic Aneurysm Open Repair

Abstract

We report a hybrid technique that aims to facilitate revascularization of heavily calcified iliac arteries during open repair of abdominal aortic aneurysms. It consists of performing the prosthetic graft limb anastomosis on the proximal edge of an iliac leg stent graft that is deployed anterogradely or retrogradely in the common iliac artery and externalized in the retroperitoneum. We used this technique in 2 cases with satisfactory results and preserved patency of the implanted stent grafts. This technique avoids anastomoses on heavily calcified iliac arteries or anastomoses on right femoral arteries during left retroperitoneal aortic approaches.