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J Vasc Surg Cases Innov Tech. 2021 Jul 21;7(3):532-535. doi: 10.1016/j.jvscit.2021.07.002. eCollection 2021 Sep.

Custom-made iliac fenestrated endoprosthesis for the treatment of internal iliac artery aneurysm with preservation of the superior gluteal artery.

Journal of vascular surgery cases and innovative techniques

Satoshi Nishi, Daisuke Arima, Ryumon Matsumoto, Kanan Kurahashi, Akihiro Yoshimoto, Yoshihiro Suematsu

Affiliations

  1. Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Ibaraki, Japan.
  2. Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan.

PMID: 34401619 PMCID: PMC8358284 DOI: 10.1016/j.jvscit.2021.07.002

Abstract

A 56-year-old man with huge bilateral internal iliac artery aneurysms (IIAAs) had emergently undergone right common iliac artery replacement. Intermittent claudication was induced by 8 minutes of walking on postoperative day 16. Endovascular repair using a custom-made iliac fenestrated endoprosthesis for the treatment of the left IIAA with preservation of the superior gluteal artery was performed on postoperative day 20 without discharging the patient. The patient had no ischemic complications. When an IIAA with a short length (<55 mm) and large diameter (>21 mm) of the common iliac artery is anatomically suitable, the placement of a custom-made iliac fenestrated endoprosthesis is a feasible and effective technique.

© 2021 The Authors.

Keywords: Endovascular aneurysm repair; Iliac branch endoprosthesis; Internal iliac artery aneurysm; Pelvic circulation; Superior gluteal artery

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