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Preserved pelvic ci...
Preserved pelvic circulation after stent-graft treatment of complex aortoiliac artery aneurysms: a new approach
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- Delle, M. (author)
- Karolinska Institutet
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- Lönn, Lars, 1956 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för särskilda specialiteter, Avdelningen för radiologi,Institute of Selected Clinical Sciences, Department of Radiology
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- Wingren, Urban, 1948 (author)
- Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute
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Karlstrom, L. (author)
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Klingenstierna, H. (author)
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- Risberg, Bo, 1941 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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Grahn, P. (author)
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Nyman, U. (author)
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(creator_code:org_t)
- 2005
- 2005
- English.
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In: Journal of endovascular therapy. - 1526-6028. ; 12:2, s. 189-95
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Abstract
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- PURPOSE: To describe an endovascular technique that allows stent-graft treatment of aortoiliac aneurysmal disease affecting both common iliac arteries (CIA), with maintenance of pelvic circulation on one side. TECHNIQUE: For patients with aortoiliac aneurysms, both common femoral arteries (CFA) were surgically exposed. One internal iliac artery (IIA) was initially embolized with coils. A bifurcated stent-graft main body was deployed with the proximal end just below the renal arteries. On the ipsilateral side, the stent-graft limb was extended 3 cm beyond the orifice of the embolized IIA into the external iliac artery (EIA) using stent-graft limb extenders. On the contralateral side, the stent-graft limb was deployed so that the distal end was 10 to 15 mm proximal to the patent IIA orifice. Via a left brachial artery access, the IIA was catheterized, and stent-grafts were deployed from the distal end of the contralateral AAA stent-graft limb into the IIA. A femorofemoral crossover graft provided circulation to the leg ipsilateral to the IIA stent-graft, and the EIA on the same side was ligated. The technique can also be modified to treat isolated bilateral CIA aneurysms. CONCLUSIONS: By extending the distal aspect of the stent-graft into an IIA, bilateral CIA aneurysms can be excluded while preserving pelvic circulation on one side.
Keyword
- Angioplasty/*methods
- Aortic Aneurysm
- Abdominal/complications/radiography/*surgery
- Follow-Up Studies
- Humans
- Iliac Aneurysm/complications/radiography/*surgery
- Pelvis/*blood supply
- *Stents
- Treatment Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Delle, M.
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Lönn, Lars, 1956
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Wingren, Urban, ...
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Karlstrom, L.
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Klingenstierna, ...
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Risberg, Bo, 194 ...
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show more...
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Grahn, P.
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Nyman, U.
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show less...
- Articles in the publication
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Journal of endov ...
- By the university
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University of Gothenburg
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Karolinska Institutet