Bibliographic Details
| Title: |
Using a Surgeon-modified Iliac Branch Device to Preserve the Internal Iliac Artery during Endovascular Aneurysm Repair: Single-center Experiences and Early Results |
| Authors: |
Wei-Wei Wu, Chen Lin, Bao Liu, Chang-Wei Liu |
| Source: |
Chinese Medical Journal, Vol 128, Iss 5, Pp 674-679 (2015) |
| Publisher Information: |
Wolters Kluwer, 2015. |
| Publication Year: |
2015 |
| Collection: |
LCC:Medicine |
| Subject Terms: |
Abdominal Aortic Aneurysm, Common Iliac Artery Aneurysm, Endovascular Repair, Internal Iliac Artery, Modified Iliac Branch Device, Medicine |
| More Details: |
Background: To evaluate the feasibility of a new surgeon-modified iliac branch device (IBD) technique to maintain pelvic perfusion in the management of common iliac artery (CIA) aneurysm during endovascular aneurysm repair (EVAR). Methods: From January 2011 to December 2013, a new surgeon-modified IBD technique was performed in department of vascular surgery of Peking Union Medical College Hospital in five patients treated for CIA aneurysm with or without abdominal aortic aneurysm. A stent-graft limb was initially deployed in vitro, anastomosed with vascular graft, creating a modified IBD reloaded into a larger sheath, with or without a guidewire preloaded into the side branch. The reloaded IBD was then placed in the iliac artery, with a covered stent bridging internal iliac artery and the branch. Finally, a bifurcated stent-graft was deployed, and a limb device was used to connect the main body and IBD. Results: Technical successes were obtained in all patients. The mean follow-up length was 24 months (range: 6-38 months). All grafts remained patent without any sign of endoleaks. There were no aneurysm ruptures, deaths, or other complications related to pelvic flow. Conclusions: Using the surgeon-modified IBD to preserve pelvic flow is a feasible endovascular technique and an appealing solution for personalized treatment of CIA aneurysm during EVAR. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
0366-6999 |
| Relation: |
http://www.cmj.org/article.asp?issn=0366-6999;year=2015;volume=128;issue=5;spage=674;epage=679;aulast=Wu; https://doaj.org/toc/0366-6999 |
| DOI: |
10.4103/0366-6999.151674 |
| Access URL: |
https://doaj.org/article/f4ab2b649cbc474388eb0ead5c7df177 |
| Accession Number: |
edsdoj.f4ab2b649cbc474388eb0ead5c7df177 |
| Database: |
Directory of Open Access Journals |
