Purpose: To report a surgical technique to preserve the internal iliac arteries (IIAs) and facilitate endovascular repair of abdominal aortic aneurysms (AAAs) with extensive iliac artery involvement. Technique: A new iliac artery bifurcation is created surgically through an 8-cm lower left abdominal incision by implanting the IIA onto the distal external lilac artery either directly or by using a tube graft interposition. Careful technique is required to avoid embolic complications, but after relocating the bifurcation, aortic endografting can be performed, either simultaneously or staged, depending upon patient characteristics. Conclusions: Relocation of the iliac artery bifurcation appears to be a good alternative to preserve pelvic arterial flow in selected candidates for endoluminal AAA repair.
| Documento: | Artículo |
| Título: | Relocation of the iliac artery bifurcation to facilitate endoluminal treatment of abdominal aortic aneurysms |
| Autor: | Parodi, J.C.; Ferreira, M. |
| Filiación: | Inst. Cardiovascular de Buenos Aires, Blanco Encalada 1543/47, Buenos Aires 1428, Argentina |
| Palabras clave: | Coil embolization; Internal iliac artery; Interposition graft; Lilac aneurysms; abdominal aorta aneurysm; article; blood flowmetry; human; human cell; human tissue; internal iliac artery; pelvis; priority journal; surgical anatomy; surgical technique |
| Año: | 1999 |
| Volumen: | 6 |
| Número: | 4 |
| Página de inicio: | 342 |
| Página de fin: | 347 |
| DOI: | http://dx.doi.org/10.1583/1074-6218(1999)006<0342:ROTIAB>2.0.CO;2 |
| Título revista: | Journal of Endovascular Surgery |
| Título revista abreviado: | J. Endovasc. Surg. |
| ISSN: | 10746218 |
| CODEN: | JESUF |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10746218_v6_n4_p342_Parodi |
