Vasc Spec Int.  2022 Dec;38(4):35. 10.5758/vsi.220042.

Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature

• Moniaci D
• Maiorano F
• Corrado F

• KMID: 2538118
• DOI: http://doi.org/10.5758/vsi.220042

Abstract

Iliac artery rupture is a demanding complication that can occur during endovascular procedures, particularly when large-caliber introducers are required. We present the first case in the literature on the endobypass technique, a quick and effective reconstruction method for the iliofemoral axis. This clinical case highlights that thoracic endovascular aortic repair procedures require large-caliber introducers into the femoral and iliac arteries to allow passage of the delivery system. These arteries may be diseased, representing a high risk of rupture. In our case, placing a 20 Fr introducer, the iliac artery ruptured bilaterally. Therefore, we performed an endobypass deploying Viabahn stent-grafts into the common iliac artery and manually performed distal anastomosis on the femoral bifurcation.

Keyword

Surgical anastomosis; Endovascular procedures; Iliac artery; Thoracic aorta; Sutures