Endovascular management of iliac limb occlusion of bifurcated aortic endografts

• Published in: Journal of vascular surgery Vol. 35; no. 3; pp. 584 - 588
• Main Authors: Todd Bohannon, W., Hodgson, Kim J., Parra, Jose R., Mattos, Mark A., Karch, Laura A., Ramsey, Don E., Solis, Maurice M., McLafferty, Robert B.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Mosby, Inc 01.03.2002; Elsevier
• Subjects: Aged; Aorta - transplantation; Aortic Aneurysm, Abdominal - complications; Aortic Aneurysm, Abdominal - surgery; Arterial Occlusive Diseases - etiology; Arterial Occlusive Diseases - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Extremities - blood supply; Humans; Iliac Artery - surgery; Male; Medical sciences; Middle Aged; Postoperative Complications - etiology; Postoperative Complications - surgery; Reoperation; Vascular Surgical Procedures; Arterial disease; Vascular disease; Case study; Human; Endoprosthesis; Thrombectomy; Instrumentation therapy; Clinical form; Cardiovascular disease; Instrumental dilatation; Obliteration; Iliac artery
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2002.120374

Although aortic endograft iliac limb occlusion is an uncommon event, its treatment is problematic because standard surgical thrombectomy risks graft dislodgment or component separation. Although femorofemoral bypass grafting can restore perfusion to the affected limb, its longevity may be inferior to reestablishing patency of the endograft itself and represents a failure of the endograft procedure. With aortic endogafts now commercially available, implanting surgeons must be aware of this important complication and well versed in all of the endovascular treatment options. We report three cases of endoluminal management of unilateral iliac limb occlusion of bifurcated aortic endografts.