Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery

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: Younghye Kim, Woo-Sung Yun, Hyung-Kee Kim
Format: Article
Language:English
Published: Medrang 2022-12-01
Series:Vascular Specialist International
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220055
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author Younghye Kim
Woo-Sung Yun
Hyung-Kee Kim
author_facet Younghye Kim
Woo-Sung Yun
Hyung-Kee Kim
author_sort Younghye Kim
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-bd2cc7e5b6af4117b991bfe9803675a92023-01-06T01:30:12ZengMedrangVascular Specialist International2288-79702288-79892022-12-013810.5758/vsi.220055vsi.220055Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid SurgeryYounghye Kim0Woo-Sung Yun1Hyung-Kee Kim2Division of Vascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, KoreaDivision of Vascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, KoreaDivision of Vascular Surgery, Department of Surgery, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, KoreaIliac 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.220055
spellingShingle Younghye Kim
Woo-Sung Yun
Hyung-Kee Kim
Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
Vascular Specialist International
title Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
title_full Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
title_fullStr Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
title_full_unstemmed Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
title_short Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery
title_sort late type iiib endoleak after low profile endograft implantation for abdominal aortic aneurysm treated by hybrid surgery
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220055
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AT woosungyun latetypeiiibendoleakafterlowprofileendograftimplantationforabdominalaorticaneurysmtreatedbyhybridsurgery
AT hyungkeekim latetypeiiibendoleakafterlowprofileendograftimplantationforabdominalaorticaneurysmtreatedbyhybridsurgery