Aortomonoiliac Stent-Grafts for Abdominal Aortic Aneurysm Repair:Association With Iliofemoral Crossover Grafts

Abstract

In this approach, the crossover graft remains in a retropubic space and consequently does not have all the disadvantages of a subcutaneously placed prosthesis. The results achieved in this group of high-risk patients support recommendation of this technique as a simple and safe alternative to bifurcated systems.

Minimally Invasive Surgical Solution in the Treatment of an Unusual Distal Type I Endoleak after Endovascular Abdominal Aortic Aneurysm Repair

“…This stent graft has two rows of barbs in the aortic end but none in the distal iliac portion. 1 Routine spiral computed tomography 3 months later depicted a type I distal endoleak from the right iliac artery secondary to cranial migration of the device (Figure 1). Attempts to correct the endoleak by endovascular manipulation from the left brachial and right femoral arteries with snares and myocardial biopsy clamps were unsuccessful because the distal portion of the conical endograft became incarcerated in the left (contralateral) common iliac aneurysm.…”