Endovascular repair of abdominal aortic aneurysm using bifurcated stent-graft in a patient with complete occlusion from the common to the external iliac artery

Naoki Fujimura, Hirohisa Harada, Hideki Yashiro, Takurin Akiyoshi, Motohito Nakagawa, Toshio Kanai, Hideaki Obara, Yuukou Kitagawa

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Extensive iliofemoral occlusive disease can limit the use of endovascular aortic aneurysm repair (EVAR), and the treatment strategy varies depending on severity of the lesion. In cases of mild iliac artery (IA) stenosis, predilation using a balloon catheter before EVAR is relatively common, and for severe IA stenosis, the technique of internal endoconduits has been reported with good results. In contrast, EVAR using an aortouni-iliac stent graft with femorofemoral crossover bypass has traditionally been used for abdominal aortic aneurysm with IA occlusion. However, EVAR using a bifurcated stent graft has some clear advantages over aortouni-iliac stent grafts. In this report, we describe and discuss technical aspects and feasibility of chronically occluded iliac artery recanalization before EVAR to facilitate the use of bifurcated stent grafts in a patient with concomitant complete common to external IA occlusion.

Original languageEnglish
JournalAnnals of Vascular Surgery
Issue number3
Publication statusPublished - 2014


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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