Bilateral internal iliac branch device with ipsilateral deployment
Jake F Hemingway1, Anna Ohlsson1, Jason Hurd2
1Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.
Abstract:
Iliac branch endograft devices offer an elegant solution to preserve perfusion to the internal iliac artery when treating aortoiliac aneurysms; however, they are difficult to perform when bilateral access is not available owing to aortoiliac anatomy or previous endovascular aortic aneurysm repair. We present a technique to perform iliac branch endograft deployment from ipsilateral access in a patient with a prior EVAR endovascular aortic aneurysm repair, obviating the need for a difficult up-and-over access.
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