Journal
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
Volume 7, Issue 2, Pages 322-325Publisher
ELSEVIER
DOI: 10.1016/j.jvscit.2021.04.002
Keywords
Endovascular aneurysm repair; Branched stent graft; Contralateral approach; Femoral access; Iliac branch device
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This study reported a case of treating type Ib endoleak after FEVAR with IBD, using a contralateral steerable sheath for internal iliac artery catheterizing in order to bridge the internal iliac artery and avoid risks associated with upper extremity access.
We report the treatment of type Ib endoleak after fenestrated endovascular aneurysm repair (FEVAR) with iliac branch device (IBD) to allow exclusive transfemoral access without a femoral-to-femoral through-and-through wire. The patient was treated with fenestrated endovascular aneurysm repair and showed expansion of the aneurysm owing to a type Ib endoleak. An IBD was implanted by the use of a contralateral steerable sheath for internal iliac artery catheterizing. A computed tomography scan showed the patency of the target vessels and resolution of the endoleak. The use of a steerable sheath without femoral-to-femoral through-and-through wire to bridge the internal iliac artery in patients receiving an IBD after prior EVAR is feasible and avoids the risks associated with upper extremity access.
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