KMID : 1037520220380040035
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Vascular Specialist International 2022 Volume.38 No. 4 p.35 ~ p.35
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Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
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Moniaci Diego
Maiorano Francesco Corrado Federica
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Abstract
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Iliac artery rupture is a demanding complication that can occur during endovascular procedures, particularly when large-caliber introducers are required. We present the first case in the literature on the endobypass technique, a quick and effective reconstruction method for the iliofemoral axis. This clinical case highlights that thoracic endovascular aortic repair procedures require large-caliber introducers into the femoral and iliac arteries to allow passage of the delivery system. These arteries may be diseased, representing a high risk of rupture. In our case, placing a 20 Fr introducer, the iliac artery ruptured bilaterally. Therefore, we performed an endobypass deploying Viabahn stent-grafts into the common iliac artery and manually performed distal anastomosis on the femoral bifurcation.
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KEYWORD
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Surgical anastomosis, Endovascular procedures, Iliac artery, Thoracic aorta, Sutures
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