Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3

The commercial availability of the iliac branch endoprosthesis (IBE) has permitted endovascular repair of iliac artery aneurysms with the preservation of pelvic circulation. However, the device instructions for use require certain anatomic criteria that can limit deployment in ≤30% of patients. More...

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Main Authors: Anand Brahmandam, MD, Raul J. Guzman, MD, Naiem Nassiri, MD
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723000400
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author Anand Brahmandam, MD
Raul J. Guzman, MD
Naiem Nassiri, MD
author_facet Anand Brahmandam, MD
Raul J. Guzman, MD
Naiem Nassiri, MD
author_sort Anand Brahmandam, MD
collection DOAJ
description The commercial availability of the iliac branch endoprosthesis (IBE) has permitted endovascular repair of iliac artery aneurysms with the preservation of pelvic circulation. However, the device instructions for use require certain anatomic criteria that can limit deployment in ≤30% of patients. Moreover, branched endovascular treatment of common iliac artery aneurysms with IBE in patients with connective tissue disorders such as Loeys-Dietz syndrome has not been described. In the present report, we have described our technique of alternative endograft aortoiliac reconstruction to overcome anatomic barriers to IBE placement in a patient with a giant common iliac artery aneurysm in the setting of a rare pathogenic variant in the SMAD3 gene.
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spelling doaj.art-748abb8c24c540c9882de47eb4121b962023-06-23T04:43:37ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-06-0192101131Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3Anand Brahmandam, MD0Raul J. Guzman, MD1Naiem Nassiri, MD2Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CTDivision of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CTCorrespondence: Naiem Nassiri, MD, Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, 330 Cedar St, Boardman 204B, New Haven, CT 06510; Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CTThe commercial availability of the iliac branch endoprosthesis (IBE) has permitted endovascular repair of iliac artery aneurysms with the preservation of pelvic circulation. However, the device instructions for use require certain anatomic criteria that can limit deployment in ≤30% of patients. Moreover, branched endovascular treatment of common iliac artery aneurysms with IBE in patients with connective tissue disorders such as Loeys-Dietz syndrome has not been described. In the present report, we have described our technique of alternative endograft aortoiliac reconstruction to overcome anatomic barriers to IBE placement in a patient with a giant common iliac artery aneurysm in the setting of a rare pathogenic variant in the SMAD3 gene.http://www.sciencedirect.com/science/article/pii/S2468428723000400Loeys-Dietz syndromeIliac branch endoprosthesisIliac artery aneurysmAlternative endograft aortoiliac reconstruction
spellingShingle Anand Brahmandam, MD
Raul J. Guzman, MD
Naiem Nassiri, MD
Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
Journal of Vascular Surgery Cases and Innovative Techniques
Loeys-Dietz syndrome
Iliac branch endoprosthesis
Iliac artery aneurysm
Alternative endograft aortoiliac reconstruction
title Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
title_full Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
title_fullStr Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
title_full_unstemmed Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
title_short Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3
title_sort iliac branch endoprosthesis for repair of a common iliac artery aneurysm in loeys dietz syndrome type 3
topic Loeys-Dietz syndrome
Iliac branch endoprosthesis
Iliac artery aneurysm
Alternative endograft aortoiliac reconstruction
url http://www.sciencedirect.com/science/article/pii/S2468428723000400
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