A Laparoscopic Endovascular Aortobifemoral Conduit That Can Be Retained as a Long-term Bypass: A Solution for Patients With Inadequate Iliac Access

Abstract

This novel technique combines laparoscopic access with endovascular manipulation to place an ABF conduit, which can be retained as a permanent bypass without the need for an abdominal incision. This technique could provide a minimally invasive solution for pelvic occlusive disease that hinders endovascular repairs, as well as a minimally invasive means of securing endoluminal access in patients with iliac arteries of inadequate caliber.

Direct Videoscopic Approach to the Thoracic Aorta for Aortic Endograft Delivery: Evaluation in a Human Cadaver Circulation Model

“…Although deployment of the stent-grafts was successful, the procedure required dissection of the entire infrarenal aorta. Jansen et al 10 developed a laparoscopic technique to place into the abdominal aorta or iliac artery a partially stented conduit that can be retained as an aortobifemoral bypass. Both procedures are complex, however, and require a significant level of laparoscopic skill.…”

“…Median fluid loss was low, with little loss during aortic puncture or catheter exchange, as also noted by others. 9,10 The trocars used and the entry points chosen allowed easy passage of the stent-graft delivery equipment without any difficulties.…”