Bilateral Use Of Iliac Branched Graft In Treatment Of Complex Aorto-iliac Aneurysm

Tanil Ozer, Ozge Altas, Mustafa M. Ozgur, Mehmet Aksut, Sabit Sarikaya, Mehmet K. Kirali

University of Health Science, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey

Date, time and location: 2018.05.26 13:30, Exhibition area, 1st Floor. Zone – A

Abstract

OBJECTIVE: Nowadays endovascular treatment of abdominal aortic aneurysms are performed at many clinics. The aneurysms which are localized at the infrarenal abdominal aorta seems relatively easier. But extended to iliac arteries ones form more difficult for endovascular repair. One of internal iliac arteries occlusion is commonly preferred when the other side preserved with branched graft. In this case, we aimed to share our experiences on bilateral use of branched grafts to treat a complex aorta iliac aneurysm.

METHODS: Sixty nine years old male patient admitted to our clinic with back pain. When he was evaluated for his complaint, an 8 cm diameter abdominal aortic aneurysm was realized. And also severe aortic valve regurgitation was noticed and replacement with mechanical aortic valve was performed first. The aneurysmatic dilatation has included the both common iliac arteries and extension to external iliac arteries was inevitable. This patient was very active person and didn't has tolerance for any complication as like gluteal pain or impotence.

RESULTS: We have known the iliac branched grafts are useful for the situations like this. But bilateral use of these grafts are uncommon. We have placed iliac branched grafts and internal iliac graft stents then abdominal aortic stunt graft respectively. No complication was occurred. Patient was discharged from hospital 3 days later.

CONCLUSIONS: Bilateral use of iliac branched grafts are feasible technique to avoid complications of unilateral occlusion of internal iliac arteries.