Abdominal Aortic Aneurysm with a Dilated Common Iliac Artery: Treatment Using a Handmade Bifurcated Stent-Graft with a Wide Iliac Limb End
- Fukuiken Saiseikai Hospital, 7-1, Funabashi, Wadanaka-cho, Fukui 918-8503, Departments of Diagnostic Radiology and Vascular Surgery (Japan)
- Kanazawa University, School of Medicine, 13-1, Takara-machi, Kanazawa920-8640, Department of Radiology (Japan)
- Fukuiken Saiseikai Hospital, 7-1, Funabashi, Wadanaka-cho, Fukui 918-8503, Departments of Diagnostic Radiology andVascular Surgery (Japan)
- Kanazawa University, School of Medicine, 13-1, Takara-machi, Kanazawa 920-8640, Department of Radiology (Japan)
The purpose of this study was to evaluate the usefulness of a bifurcated stent-graft with a wide iliac limb end (WILE) in the treatment of abdominal aortic aneurysm (AAA) with a dilated common iliac artery (CIA) to avoid occlusion of the internaliliac artery (IIA). The WILE, covered with an expanded polytetrafluoroethylene graft which was constructed of large diameter stents according to the individual CIA diameter, was connected to a two-piece bifurcated stent-graft covering a polyester graft. The WILE was placed in eight dilated CIAs of six patients. All but one WILE fitted the dilated CIA well. One did not fit, and coil embolization of the leak was needed. All eight IIA derived from the dilated CIA avoided occlusion. Perigraft leak due to other causes was identified in another two patients. Limb kinking was observed in two patients. Our stent is useful in the treatment of AAA with dilated CIA to avoid occlusion of the IIA, and may extend the indication of endoluminal repair of AAA.
- OSTI ID:
- 21088332
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 26, Issue 6; Other Information: DOI: 10.1007/s00270-003-2718-6; Copyright (c) 2003 Springer-Verlag; Article Copyright (c) 2003 Springer-Verlag New York, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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