EVAR with Aortouniiliac Stent Graft and Converter in a Patient with AAA andIliac Artery Occlusion

ABSTRACT

Endovascular aneurysm repair (EVAR) has become increasingly popular since Parodi reported the first endovascular repair in 1991. Aortobiiliac stent grafting has gained popularity as an endovascular technique for managing abdominal aortic aneurysms (AAA), but the use of aortouniiliac stenting with femorofemoral bypass increases the proportion of patients treatable by endovascular techniques. The Zenith AAA Endovascular Graft Converter is used to convert a bifurcated graft to an aortouniiliac graft. We report successful EVAR using an aortouniiliac stent graft and converter in a 66-year-old man with an AAA and right common iliac artery occlusion. The preoperative CT angiography showed an infrarenal AAA 78 mm in diameter and right common iliac artery occlusion with recanalization by a collateral epigastric artery. The converter was deployed after placement of the main body, and the iliac leg extension was placed in the left external iliac artery. No postoperative complications occurred, and no endoleak was seen on follow-up CT angiography.