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Double D Technique: An Innovative Modified Bifurcated Stent Graft Deployment Strategy for an Isolated Common Iliac Artery Aneurysm With a Challenging Renal Artery Anatomy.
Date, Yusuke; Takano, Tamaki; Fujii, Taishi; Terasaki, Takamitsu; Sakaguchi, Masayuk.
Afiliação
  • Date Y; 1 Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
  • Takano T; 1 Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
  • Fujii T; 1 Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
  • Terasaki T; 1 Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
  • Sakaguchi M; 1 Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
Vasc Endovascular Surg ; 53(7): 613-616, 2019 Oct.
Article em En | MEDLINE | ID: mdl-31307324
PURPOSE: Endovascular aneurysm repair (EVAR) for an isolated common iliac artery aneurysm (iCIAA) sometimes requires a bifurcated stent graft (SG). In EVAR, it is essential to preserve the renal artery (RA). However, this is challenging in cases of anatomical variation. The double D technique (DDT) can be used in anatomically inadequate cases with a commercially approved bifurcated SG. Here, we report the repair of iCIAA in the presence of a challenging RA anatomy, through EVAR using the DDT. CASE REPORT: An 84-year-old woman was diagnosed with a maximal 35-mm diameter left iCIAA and a nonaneurysmal aorta by computed tomography (CT), which also showed that the right RA arose 50-mm above the aortic bifurcation. The DDT was chosen because commercially approved bifurcated SGs typically require a distance of >70 mm from the proximal position to the aortic bifurcation. Postoperative CT showed excellent results with no endoleaks or SG kinking and occlusion, as well as preservation of robust blood flow to the right RA. CONCLUSION: Endovascular aneurysm repair using the DDT can be an alternative option for treatment of iCIAA with a challenging RA anatomy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Renal / Prótese Vascular / Stents / Aneurisma Ilíaco / Implante de Prótese Vascular / Procedimentos Endovasculares Limite: Aged80 / Female / Humans Idioma: En Revista: Vasc Endovascular Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Japão País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Renal / Prótese Vascular / Stents / Aneurisma Ilíaco / Implante de Prótese Vascular / Procedimentos Endovasculares Limite: Aged80 / Female / Humans Idioma: En Revista: Vasc Endovascular Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Japão País de publicação: Estados Unidos