Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device
Purpose: Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD). Case Report: In thi...
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| Veröffentlicht in: | Journal of endovascular therapy 2022-02, Vol.29 (1), p.143-149 |
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| container_title | Journal of endovascular therapy |
| container_volume | 29 |
| creator | Murai, Yuta Tamura, Yukio Tanaka, Yuki Nakashima, Kouki Miyaji, Kagami |
| description | Purpose:
Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD).
Case Report:
In this report, we discuss the case of a patient in whom the bilateral limbs were completely displaced into the aortic aneurysm due to proximal migration of the iliac limb after EVAR. By taking advantage of the characteristics of this migration, we formed a pull-through wire through the native terminal aorta without passing through the flow divider of the stent graft, and the IBD was deployed safely.
Conclusion:
The present case indicates that the preservation of at least 1 internal iliac artery is possible in patients with CIA dilation due to proximal migration of the iliac limb. However, the unique features of each case must be considered to determine the appropriate approach. |
| doi_str_mv | 10.1177/15266028211036484 |
| format | Article |
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Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD).
Case Report:
In this report, we discuss the case of a patient in whom the bilateral limbs were completely displaced into the aortic aneurysm due to proximal migration of the iliac limb after EVAR. By taking advantage of the characteristics of this migration, we formed a pull-through wire through the native terminal aorta without passing through the flow divider of the stent graft, and the IBD was deployed safely.
Conclusion:
The present case indicates that the preservation of at least 1 internal iliac artery is possible in patients with CIA dilation due to proximal migration of the iliac limb. However, the unique features of each case must be considered to determine the appropriate approach.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1177/15266028211036484</identifier><identifier>PMID: 34384277</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - adverse effects ; Endovascular Procedures - adverse effects ; Humans ; Iliac Aneurysm - diagnostic imaging ; Iliac Aneurysm - surgery ; Iliac Artery - diagnostic imaging ; Iliac Artery - surgery ; Leg ; Prosthesis Design ; Stents ; Treatment Outcome</subject><ispartof>Journal of endovascular therapy, 2022-02, Vol.29 (1), p.143-149</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-de78d0aaf326c8b4a9a3a4ddd0e068a55e37aef6219b5539ed2d2da7cf993c2c3</cites><orcidid>0000-0002-0325-4415</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/15266028211036484$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/15266028211036484$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34384277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murai, Yuta</creatorcontrib><creatorcontrib>Tamura, Yukio</creatorcontrib><creatorcontrib>Tanaka, Yuki</creatorcontrib><creatorcontrib>Nakashima, Kouki</creatorcontrib><creatorcontrib>Miyaji, Kagami</creatorcontrib><title>Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD).
Case Report:
In this report, we discuss the case of a patient in whom the bilateral limbs were completely displaced into the aortic aneurysm due to proximal migration of the iliac limb after EVAR. By taking advantage of the characteristics of this migration, we formed a pull-through wire through the native terminal aorta without passing through the flow divider of the stent graft, and the IBD was deployed safely.
Conclusion:
The present case indicates that the preservation of at least 1 internal iliac artery is possible in patients with CIA dilation due to proximal migration of the iliac limb. However, the unique features of each case must be considered to determine the appropriate approach.</description><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Humans</subject><subject>Iliac Aneurysm - diagnostic imaging</subject><subject>Iliac Aneurysm - surgery</subject><subject>Iliac Artery - diagnostic imaging</subject><subject>Iliac Artery - surgery</subject><subject>Leg</subject><subject>Prosthesis Design</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0EglL4AVyQj1wCfsR2ciwtj0qVuLTnaOtsilEexXaQ-u9JVcoFCe1hV5pvRtoh5Iaze86NeeBKaM1EJjhnUqdZekJGXKUq4Uqx0_0tdLIHLshlCB-MCT6g5-RCpjJLhTEj0iw9QmywjbSr6LRrtjVGpDMXtjVYPArxHemjqyGih5oucBOoa2NHoaWTzkdn6aTF3u9CQ1fBtZu9MK8dWProobXvdIZfzuIVOaugDnj9s8dk9fy0nL4mi7eX-XSySKzIRUxKNFnJACoptM3WKeQgIS3LkiHTGSiF0gBWWvB8rZTMsRTDgLFVnksrrByTu0Pu1nefPYZYNC5YrGtosetDIZTmaWaMlgPKD6j1XQgeq2LrXQN-V3BW7Fsu_rQ8eG5_4vt1g-Wv41jrANwfgAAbLD663rfDu_8kfgPnCIUf</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Murai, Yuta</creator><creator>Tamura, Yukio</creator><creator>Tanaka, Yuki</creator><creator>Nakashima, Kouki</creator><creator>Miyaji, Kagami</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0325-4415</orcidid></search><sort><creationdate>202202</creationdate><title>Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device</title><author>Murai, Yuta ; Tamura, Yukio ; Tanaka, Yuki ; Nakashima, Kouki ; Miyaji, Kagami</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-de78d0aaf326c8b4a9a3a4ddd0e068a55e37aef6219b5539ed2d2da7cf993c2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Humans</topic><topic>Iliac Aneurysm - diagnostic imaging</topic><topic>Iliac Aneurysm - surgery</topic><topic>Iliac Artery - diagnostic imaging</topic><topic>Iliac Artery - surgery</topic><topic>Leg</topic><topic>Prosthesis Design</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murai, Yuta</creatorcontrib><creatorcontrib>Tamura, Yukio</creatorcontrib><creatorcontrib>Tanaka, Yuki</creatorcontrib><creatorcontrib>Nakashima, Kouki</creatorcontrib><creatorcontrib>Miyaji, Kagami</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murai, Yuta</au><au>Tamura, Yukio</au><au>Tanaka, Yuki</au><au>Nakashima, Kouki</au><au>Miyaji, Kagami</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2022-02</date><risdate>2022</risdate><volume>29</volume><issue>1</issue><spage>143</spage><epage>149</epage><pages>143-149</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
Migration is a major cause of reintervention after endovascular aneurysm repair (EVAR). In patients with common iliac artery (CIA) dilation due to proximal migration of the iliac limb, internal iliac blood flow can be preserved by implanting an iliac branch device (IBD).
Case Report:
In this report, we discuss the case of a patient in whom the bilateral limbs were completely displaced into the aortic aneurysm due to proximal migration of the iliac limb after EVAR. By taking advantage of the characteristics of this migration, we formed a pull-through wire through the native terminal aorta without passing through the flow divider of the stent graft, and the IBD was deployed safely.
Conclusion:
The present case indicates that the preservation of at least 1 internal iliac artery is possible in patients with CIA dilation due to proximal migration of the iliac limb. However, the unique features of each case must be considered to determine the appropriate approach.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34384277</pmid><doi>10.1177/15266028211036484</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0325-4415</orcidid></addata></record> |
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| subjects | Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Endovascular Procedures - adverse effects Humans Iliac Aneurysm - diagnostic imaging Iliac Aneurysm - surgery Iliac Artery - diagnostic imaging Iliac Artery - surgery Leg Prosthesis Design Stents Treatment Outcome |
| title | Treatment of Complete Displacement of the Bilateral Legs into an Aortic Aneurysm Using an Iliac Branch Device |
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