Unique operative approach for dealing with a tortuous external iliac artery during abdominal aortic aneurysm endografting.

Document Type

Article

Publication Title

The International journal of angiology

Abstract

Endovascular repair of abdominal aortic aneurysms offers many benefits over open repair. However, there are many characteristics that can exclude patients from undergoing this minimally invasive procedure, such as iliac arterial pathology. The present report describes the case of an 85-year-old patient with an aneurysm in which the right external iliac artery presented a challenge for vascular access due to its severe tortuosity and hairpin turn. Access for endovascular repair was achieved via an end-to-end anastomosis of the external iliac artery through a transverse inguinal incision. This represents a new option for achieving endograft placement when confronted with vascular tortuosity.

First Page

49

Last Page

51

DOI

10.1055/s-0031-1278324

Publication Date

Spring 2009

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