The Upside Down Endurant Iliac Limb Stent Graft for Treatment of a Common Iliac Artery Aneurysm
Yuya Koike, Junichi Nishimura, Soichiro Hase, Motoshige Yamasaki
Abstract
Yuya Koike, Junichi Nishimura, Soichiro Hase, Motoshige Yamasaki
Abstract
Endovascular repair of the coverage from the common iliac artery to the external iliac artery after the internal iliac artery embolization has been proven to be a safe and effective treatment in isolated iliac artery aneurysms. But in cases in which the diameter of the proximal sealing zone is larger than that of the distal sealing zone, a reverse-tapered device is needed. We described the off-label use of the Endurant iliac limb stent graft in an upside down configuration to accommodate this diameter mismatch.
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Endovascular repair of the coverage from the common iliac artery to the external iliac artery after the internal iliac artery embolization has been proven to be a safe and effective treatment in isolated iliac artery aneurysms. But in cases in which the diameter of the proximal sealing zone is larger than that of the distal sealing zone, a reverse-tapered device is needed. We described the off-label use of the Endurant iliac limb stent graft in an upside down configuration to accommodate this diameter mismatch.
Key concepts: Medicine, Internal iliac artery, Iliac artery, Common iliac artery, Stent, External iliac artery, Surgery, Embolization