Kissing Iliac Artery Stent Technique for Salvage of Hypogastric Artery Occlusion Secondary to Iliac Artery Dissection During Endovascular Aneurysm Repair

Abstract

While undergoing endovascular aneurysm repair (EVAR), dissection occurred in bilateral common and external iliac arteries resulting in acute bilateral hypogastric artery occlusion. Attempts were made to reestablish flow to the left internal iliac artery via retrograde ipsilateral approach without success. A left brachial approach was used to gain access to the left internal iliac artery and kissing angioplasty and subsequent stent placement with 2 self-expanding stents was performed raising the iliac bifurcation to the level of the stent graft to salvage the internal iliac artery.

Preservation of Internal Iliac Artery after Endovascular Repair of Common Iliac Artery Dissection Using Modified Fenestrated Stent Graft

“…Endovascular treatment is becoming more popular in aortic pathologies. 5) 6) 7) 8) The risks of internal iliac artery embolization have been well described. Preservation of pelvic flow is crucial in various circumstances.…”