Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature

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. Thi...

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Main Authors: Diego Moniaci, Francesco Maiorano, Federica Corrado
Format: Article
Language:English
Published: Medrang 2022-12-01
Series:Vascular Specialist International
Subjects:
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220042
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author Diego Moniaci
Francesco Maiorano
Federica Corrado
author_facet Diego Moniaci
Francesco Maiorano
Federica Corrado
author_sort Diego Moniaci
collection DOAJ
description 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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spelling doaj.art-74211dd29de446c98739302f0bf9a2802023-01-06T01:30:12ZengMedrangVascular Specialist International2288-79702288-79892022-12-013810.5758/vsi.220042vsi.220042Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the LiteratureDiego Moniaci0Francesco Maiorano1Federica Corrado2Service of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, ItalyService of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, ItalyService of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, ItalyIliac 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.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220042surgical anastomosisendovascular proceduresiliac arterythoracic aortasutures
spellingShingle Diego Moniaci
Francesco Maiorano
Federica Corrado
Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
Vascular Specialist International
surgical anastomosis
endovascular procedures
iliac artery
thoracic aorta
sutures
title Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
title_full Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
title_fullStr Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
title_full_unstemmed Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
title_short Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature
title_sort bilateral iliac endobypass solution in iliac artery rupture during tevar procedure a case report and review of the literature
topic surgical anastomosis
endovascular procedures
iliac artery
thoracic aorta
sutures
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220042
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AT francescomaiorano bilateraliliacendobypasssolutioniniliacarteryruptureduringtevarprocedureacasereportandreviewoftheliterature
AT federicacorrado bilateraliliacendobypasssolutioniniliacarteryruptureduringtevarprocedureacasereportandreviewoftheliterature