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...

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Main Authors: Sungsin Cho, Jin Hyun Joh
Format: Article
Language:English
Published: Medrang 2019-03-01
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.
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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