Vasc Spec Int.  2016 Mar;32(1):17-21. 10.5758/vsi.2016.32.1.17.

The Upside-Down Gore Excluder Limb and Double-Barrel Sandwich Technique for Penetrating Aortic Ulcer and Iliac Aneurysm Exclusion

Affiliations
  • 1Division of Vascular Surgery, Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea. hkkim6260@knu.ac.kr

Abstract

Endovascular aneurysm repair has become the first-line treatment for abdominal aortic aneurysms and iliac artery aneurysms in recent years. However, the diameter of the infrarenal aorta is larger than that of the aortic bifurcation, especially with small aortic diameters, for which a reversed tapered device is necessary. We describe the off-label use of the upside-down Gore Excluder limb and double-barrel sandwich technique for the treatment of a penetrating abdominal aortic ulcer with a large common iliac artery aneurysm. These techniques offer an easy endovascular approach for excluding an aneurysm in selected patients. However, this technique is outside the standard instructions for use, therefore careful planning and long-term follow-up are mandatory.

Keyword

Aneurysm; Abdominal aorta; Iliac artery; Stent graft

MeSH Terms

Aneurysm
Aorta
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Blood Vessel Prosthesis
Extremities*
Follow-Up Studies
Humans
Iliac Aneurysm*
Iliac Artery
Off-Label Use
Ulcer*
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