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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Format: | Article |
Language: | English |
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Medrang
2022-12-01
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Series: | Vascular Specialist International |
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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. |
first_indexed | 2024-04-11T00:43:36Z |
format | Article |
id | doaj.art-74211dd29de446c98739302f0bf9a280 |
institution | Directory Open Access Journal |
issn | 2288-7970 2288-7989 |
language | English |
last_indexed | 2024-04-11T00:43:36Z |
publishDate | 2022-12-01 |
publisher | Medrang |
record_format | Article |
series | Vascular Specialist International |
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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