Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent
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 discolor...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Medrang
2019-03-01
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Series: | Vascular Specialist International |
Subjects: | |
Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.1.34 |
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author | Sungsin Cho Jin Hyun Joh |
author_facet | Sungsin Cho Jin Hyun Joh |
author_sort | Sungsin Cho |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-18T14:57:11Z |
format | Article |
id | doaj.art-60765c8286554131880fc30deb35ff18 |
institution | Directory Open Access Journal |
issn | 2288-7970 |
language | English |
last_indexed | 2024-12-18T14:57:11Z |
publishDate | 2019-03-01 |
publisher | Medrang |
record_format | Article |
series | Vascular Specialist International |
spelling | doaj.art-60765c8286554131880fc30deb35ff182022-12-21T21:04:01ZengMedrangVascular Specialist International2288-79702019-03-01351343810.5758/vsi.2019.35.1.34vsi.2019.35.1.34Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal StentSungsin Cho0Jin Hyun Joh1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, KoreaDepartment of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, KoreaIliac 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.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.1.34AneurysmfalseProsthesisStentsEndarterectomyPatch angioplasty |
spellingShingle | Sungsin Cho Jin Hyun Joh Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent Vascular Specialist International Aneurysm false Prosthesis Stents Endarterectomy Patch angioplasty |
title | Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent |
title_full | Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent |
title_fullStr | Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent |
title_full_unstemmed | Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent |
title_short | Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent |
title_sort | endovascular repair of an iliac artery pseudoaneurysm using a surgeon reconstructed prosthetic graft and a bare metal stent |
topic | Aneurysm false Prosthesis Stents Endarterectomy Patch angioplasty |
url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.1.34 |
work_keys_str_mv | AT sungsincho endovascularrepairofaniliacarterypseudoaneurysmusingasurgeonreconstructedprostheticgraftandabaremetalstent AT jinhyunjoh endovascularrepairofaniliacarterypseudoaneurysmusingasurgeonreconstructedprostheticgraftandabaremetalstent |