Use of a Heli-FX System Guide steerable sheath for internal iliac artery bridging stent re-intervention following iliac branch procedure via a contralateral femoral approach

Abstract

Endovascular aneurysm repair (EVAR) offers lower early morbidity and mortality at the expense of increased long-term re-intervention. Dilatation of distal landing zones is increasingly managed with iliac branch procedures. Re-intervention for endoleak from the internal iliac artery (IIA) bridging stent component is usually approached from arm access due to concerns regarding inducement of displacement of the EVAR caused by traversing the neobifurcation of the stentgraft from contralateral groin access. We present a novel case of successful re-intervention for IIA endoleak in the setting of previous fenestrated repair using the Heli-FX System Guide steerable sheath.