TY - JOUR
T1 - Common Iliac artery aneurysm repair using a SaC-anchoring endograft to preserve the internal iliac artery
AU - ter Mors, Thijs G.
AU - van Sterkenburg, Steven M.M.
AU - van den Ham, Leo H.
AU - Reijnen, Michel M.P.J.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Purpose: To report the application of the Nellix endovascular aneurysm sealing system to successfully treat a unilateral common iliac aneurysm and preserve the internal iliac artery. Case Report: An 85-year-old man presented with right-sided necrosis of the third and fourth toe. Computed tomography angiography (CTA) showed a right 40-mm popliteal aneurysm and a 38-mm left fusiform common iliac artery aneurysm. After endovascular exclusion of the popliteal aneurysm, the Nellix device was positioned to exclude the common iliac artery aneurysm while preserving the internal iliac artery. Postoperative CTA showed no endoleak and a patent internal iliac artery. At 1 year, duplex ultrasound documented a common iliac aneurysm diameter of 32 mm without complications. Conclusion: Endovascular sealing using the Nellix device can be applied to exclude selected common iliac artery aneurysms with an adequate length and a minimal distal neck, with preservation of the internal iliac artery. The endobag can be positioned such that the aneurysm is completely excluded while the orifice of the side branch is not endangered.
AB - Purpose: To report the application of the Nellix endovascular aneurysm sealing system to successfully treat a unilateral common iliac aneurysm and preserve the internal iliac artery. Case Report: An 85-year-old man presented with right-sided necrosis of the third and fourth toe. Computed tomography angiography (CTA) showed a right 40-mm popliteal aneurysm and a 38-mm left fusiform common iliac artery aneurysm. After endovascular exclusion of the popliteal aneurysm, the Nellix device was positioned to exclude the common iliac artery aneurysm while preserving the internal iliac artery. Postoperative CTA showed no endoleak and a patent internal iliac artery. At 1 year, duplex ultrasound documented a common iliac aneurysm diameter of 32 mm without complications. Conclusion: Endovascular sealing using the Nellix device can be applied to exclude selected common iliac artery aneurysms with an adequate length and a minimal distal neck, with preservation of the internal iliac artery. The endobag can be positioned such that the aneurysm is completely excluded while the orifice of the side branch is not endangered.
KW - Aneurysm
KW - Common iliac artery
KW - Endovascular aneurysm sealing
KW - Hypogastric artery
KW - Internal iliac artery
UR - http://www.scopus.com/inward/record.url?scp=84947915673&partnerID=8YFLogxK
U2 - 10.1177/1526602815610117
DO - 10.1177/1526602815610117
M3 - Article
C2 - 26438350
AN - SCOPUS:84947915673
SN - 1526-6028
VL - 22
SP - 886
EP - 888
JO - Journal of Endovascular Therapy
JF - Journal of Endovascular Therapy
IS - 6
ER -