Colonic Ischemia After Endovascular Exclusion Of An Aortoiliac Aneurysm Using An Iliac Branch Device

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Hypogastric and lumbar artery bypasses to restore gluteal

Thompson MM. Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg 2010;39:285-94. 12. Donas KP, Torsello G, Pitoulias GA, Austermann M, Papadimitriou DK. Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation. J

A wire-loop technique for implantation of an iliac branched

complications increases after open aortic repair due to insufficient col-lateral flow to the inferior mesenteric artery (IMA) (2). An iliac branched device (IBD) has been recently introduced as a new completely endovascular method for treating extensive aortoiliac or iliac aneurysms while concomitantly preserving HA flow. The IBD technol-

Sustaining hypogastric flow - preserving pelvic functionality

−Severe morbidity (including colonic ischemia) and even mortality 1 −Buttock claudication rates of 50% with persistence rates of 33% 2,3 −Sexual dysfunction rates of 20% 2,3 Verzini F. Endovascular treatment of iliac aneurysm: concurrent comparison of side branch endograft versus hypogastric exclusion. Journal of Vascular Surgery

Bifurcated-bifurcated aneurysm repair is a novel technique to

are associated with a common iliac artery aneurysm (IAA).1-4 Endovascular repair of these synchronous aneu-rysms requires internal iliac artery (IIA) embolization and exclusion or preservation of IIA flow with novel techniques. Embolization of the IIA with extension of the limb into the external iliac artery (EIA) can lead to pelvic or buttock

Experience with the GORE EXCLUDER iliac branch endoprosthesis

and the off-label use of endografts.7,8 The Zenith Iliac branched device (Cook, Brisbane, Queensland, Australia) was the first dedicated device to preserve hypogastric flow after EVAR of CIA aneurysms. The device consists of a sin-gle component and is used with various types of grafts to extend into the IIA.9 Results are encouraging, but endo-

eTeuro0717 ft. Jotec - Endovascular Today

showed successful exclusion of the aortic and iliac aneurysm. The access sites were closed surgically. The patient was awake after the procedure and was without complications. The follow-up CT after 1 month showed aneurysm exclusion without endoleak or aneurysm progression (Figure 6). Treatment of Aortoiliac Aneurysms: Two Case Reports BY JOERG

CASE REPORT - ResearchGate

A recent report on colon ischemia after using an iliac branch device is consis tent with our experience [2]. Colonic ischemia after endovascular ex-clusion of an aortoiliac aneurysm using an

Pearce Iliac Branch Anatomical -

Conclusions: Only 35% of the aneurysm repairs involving common iliac arteries would have been candidates for the 2 iliac branch devices currently in trial based on anatomic criteria. The major common reason for exclusion is the internal iliac landing zone for both devices.

Isolated iliac artery aneurysms: Endovascular versus open

Endovascular treatment of an isolated right common iliac aneurysm. (1) Extension and sizing of the aneurysm (measurements from preoperative computed tomographic scan). (2) Coil embolization of the right hypogastric artery using 7-mm spiral coils (VortX; Boston Scientific, Natick, Mass). (3) Proximal type I endoleak after placement of the

COVER STORY Hypogastric Artery - Endovascular Today

aneurysms, arteriovenous fistulae, or branch vessel ostia in preparation for endovascular procedures.28,30,31 A recent case report describes management of a common iliac aneurysm via ipsilateral hypogastric coiling, place-ment of proximal and distal AVPs in the common iliac artery, and a femorofemoral bypass.32

Conformability of the GORE EXCLUDER iliac branch

Objective: The GORE EXCLUDER iliac branch endoprosthesis (IBE; W.L. Gore & Associates, Flagstaff, Ariz) is designed to preserve internal iliac artery (IIA) patency during endovascular treatment of aneurysms involving the common iliac artery. The device is intended to conform to iliac tortuosity, which may decrease adverse iliac events (AIE).

Case Report Endovascular Treatment of Isolated Bilateral

tomography angiogram at three months showed complete exclusion of bilateral CIAAs, no endoleaks, and patent right internal iliac artery. There was no pelvic ischemic complication. We treated successfully a case of isolated bilateral CIAAs using an iliac branched stent graft. Key Words:Iliac branched device, Aneurysm, Endovascular procedures

Endovascular anatomic reconstruction of the iliac bifurcation

presence of pelvic ischemia (gluteal, thigh claudication or necrosis; bowel, spinal cord or nerve ischemia; erectile dysfunction), procedure-associated mortality, failure of iliac aneurysm exclusion (growth N 5 mm, or rupture). 2.3. Statistical analysis Measured values are reported as percentages and mean ± standard deviation.

The Use of Iliac Side Branch Devices in Patients with

Conclusion: Summarized, implantation of iliac side branch devices is a feasible technique with favour-able short-term results in patients with aortoiliac aneurysm. Key Points: Implantation of iliac side branch devices is a feasible technique. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Jean-Baptiste at al. J Vasc Surg 2014;50(1);40-9

of the iliac branch components Only 35% of the aneurysm repairs involving common iliac arteries would have been candidates for the 2 iliac branch devices currently in trial based on anatomic criteria. Ann Vasc sura. 2015 doi: IM016,'Lavsg.2014.08003. Epub 20<4 sep 3. Anatomic suitability of aortoiliac aneurysms for next generation branched systems.

Surgical internal iliac artery preservation associated with

anastomosed to the distal IIA after aneurysm exclusion, and the external iliac artery was reimplanted into the crossover bypass. Only one patient had a nonpatent ipsilateral IIA before surgery; in this case, the contralateral IIA was surgically preserved. Homemade devices have been developed in our unit since the beginning of the endovascular