Vasc Spec Int.  2024 Mar;40(1):1. 10.5758/vsi.230086.

Inverted Ovation iX Limb to Treat an Isolated Common Iliac Artery Aneurysm

• Ashkar S
• Charbonneau P
• Elkouri S

• KMID: 2554547
• DOI: http://doi.org/10.5758/vsi.230086

Abstract

In recent years, endovascular aneurysm repair has become the predominant method of managing abdominal aortic and common iliac artery aneurysms. Off-label use of different endovascular devices has allowed them to remain a viable option in many cases of atypical anatomy. Some studies have reported the use of iliac devices in an upside-down configuration when the common iliac artery aneurysm has a reverse-tapered morphology. However, the use of the Ovation iX (Endologix) limb in an upside-down configuration has not yet been reported. This limb offers a 14 mm distal end when inverted and offers good patency in the tortuous iliac morphology. This case report describes and illustrates the precise deployment of an inverted Ovation iX limb to treat an isolated common iliac artery aneurysm.

Keyword

Endovascular procedures; Iliac aneurysm; Ovation iX; Inverted iliac limb