Vasc Spec Int.  2019 Mar;35(1):34-38. 10.5758/vsi.2019.35.1.34.

Endovascular Repair of an Iliac Artery Pseudoaneurysm Using a Surgeon-Reconstructed Prosthetic Graft and a Bare Metal Stent

• Cho S
• Joh JH

• KMID: 2448813
• DOI: http://doi.org/10.5758/vsi.2019.35.1.34

Abstract

Iliac artery aneurysms are usually asymptomatic. Herein, we report a novel strategy for the repair of a pseudoaneurysm involving the external iliac artery using a conventional artificial graft and bare metal stent. A 76-year-old male patient presented with severe resting pain and right foot discoloration. Computed tomography angiography revealed a right distal external iliac artery pseudoaneurysm, with severe calcified occlusion at the right common and superficial femoral arteries. After exposing the right femoral artery, long-segment endarterectomy and patch angioplasty with the ipsilateral greater saphenous vein were performed. Before the completion of patch angioplasty, a surgeon-modified 8-mm expanded polytetrafluoroethylene (ePTFE) graft was inserted for complete pseudoaneurysm repair. If a commercial covered stent is not available, minimally invasive endovascular repair can be safely performed using a surgeon-modified ePTFE graft and bare metal stent.

Keyword

Aneurysm; false; Prosthesis; Stents; Endarterectomy; Patch angioplasty

MeSH Terms

Aged
Aneurysm
Aneurysm, False*
Angiography
Angioplasty
Endarterectomy
Femoral Artery
Foot
Humans
Iliac Artery*
Male
Polytetrafluoroethylene
Prostheses and Implants
Saphenous Vein
Stents*
Transplants*
Polytetrafluoroethylene