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- Endovascular repair of aortoiliac aneurysm with hybrid technique to preserve pelvic perfusion??《CMJ》
- 作者:吴巍巍|发布时间:2012-01-02|浏览量:588次
Endovascular repair of aortoiliac aneurysm with hybrid technique to preserve pelvic perfusion. WEI-WEI Wu1, XUE-YIHG Jiang2, BAO Liu1, YU Chen1 and CHANG-WEI Liu1
1Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, 100032, P.R. China.北京协和医院血管外科中心吴巍巍
2Cooperative first author: Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100005, P.R. China.
Key words: abdominal aortic aneurysm; internal iliac artery; endovascular repair; hybrid technique; pelvic perfusion
Abstract
Background To report an endovascular repair of an aortoiliac aneurysm with an external iliac artery (EIA) to the internal iliac artery (IIA) endograft to preserve the pelvic perfusion.
Methods New endovascular techniques have been developed for abdominal aortic aneurysm and bilateral common iliac artery (CIA) aneurysms extending to iliac bifurcations in order to preserve the pelvic perfusion. First, an endograft was advanced into the left IIA under the help of a inflated aortic balloon; coils were deployed to embolize the distal type Ⅰ endoleak from the tunnel around the endograft; an aortouniiliac endograft and an iliac extension were deployed below the renal arteries extending to the right EIA; finally, a right-to-left femoro-femoral artery bypass was constructed.
Results Completion angiography and computed tomography after 6 months demonstrated patency of all grafts without any endoleak.
Conclusions Endovascular repair with an EIA-to-IIA endograft to preserve the pelvic inflow is a feasible and effective technique for aortoiliac aneurysms. Coils embolization might be an option to repair the distal typeⅠendoleak. Balloon assisted U-turn technique may help advance endovascular device over a sharp-angled vessel bifurcation.
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