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Related Experiment Video

Updated: Nov 5, 2025

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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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.

Journal of Vascular Surgery Cases and Innovative Techniques
|May 17, 2021
PubMed
Summary
This summary is machine-generated.

Iliac branch endografts preserve internal iliac artery flow in aortoiliac aneurysms. A novel ipsilateral access technique simplifies deployment after prior endovascular aortic aneurysm repair (EVAR), avoiding complex contralateral access.

Keywords:
Iliac aneurysmIliac branch deviceIpsilateral deployment

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Aneurysm Repair

Background:

  • Iliac branch endografts are crucial for maintaining internal iliac artery perfusion during aortoiliac aneurysm treatment.
  • Bilateral access challenges limit their use in patients with complex aortoiliac anatomy or prior endovascular aortic aneurysm repair (EVAR).

Observation:

  • A novel technique for iliac branch endograft deployment using ipsilateral access was developed.
  • This approach was successfully applied in a patient with a history of EVAR.

Findings:

  • The ipsilateral access technique successfully facilitated iliac branch endograft deployment.
  • This method obviated the need for a complex and potentially difficult up-and-over contralateral access route.

Implications:

  • This technique offers a viable alternative for EVAR patients requiring iliac branch endograft placement.
  • It may expand the applicability of endovascular aortic aneurysm repair by simplifying challenging anatomical scenarios.