Common Iliac Artery Aneurysm Repair Using a Sac-Anchoring Endograft to Preserve the Internal Iliac Artery

Author:

ter Mors Thijs G.1,van Sterkenburg Steven M. M.1,van den Ham Leo H.1,Reijnen Michel M. P. J.1

Affiliation:

1. Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,Surgery

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. The Nellix device: review of indications and outcome;Expert Review of Medical Devices;2017-07-11

2. Treating iliac aneurysm using the Nellix Endovascular Sac Sealing System;Seminars in Vascular Surgery;2016-09

3. Clinical outcomes after Nellix Endovascular Aneurysm Sealing;Seminars in Vascular Surgery;2016-09

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