Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent
Vascular Specialist International
;
: 34-38, 2019.
Article
in English
| WPRIM
| ID: wpr-762003
ABSTRACT
Iliac artery aneurysms are usually asymptomatic. Herein, we report a novel strategy for the repair of a pseudoaneurysm involving the external iliac artery using a conventional artificial graft and bare metal stent. A 76-year-old male patient presented with severe resting pain and right foot discoloration. Computed tomography angiography revealed a right distal external iliac artery pseudoaneurysm, with severe calcified occlusion at the right common and superficial femoral arteries. After exposing the right femoral artery, long-segment endarterectomy and patch angioplasty with the ipsilateral greater saphenous vein were performed. Before the completion of patch angioplasty, a surgeon-modified 8-mm expanded polytetrafluoroethylene (ePTFE) graft was inserted for complete pseudoaneurysm repair. If a commercial covered stent is not available, minimally invasive endovascular repair can be safely performed using a surgeon-modified ePTFE graft and bare metal stent.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polytetrafluoroethylene
/
Prostheses and Implants
/
Saphenous Vein
/
Angiography
/
Stents
/
Angioplasty
/
Aneurysm, False
/
Transplants
/
Endarterectomy
/
Femoral Artery
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Vascular Specialist International
Year:
2019
Type:
Article
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