Outcomes of Gore iliac branch endoprosthesis with internal iliac component versus Gore Viabahn VBX

Pickney, Cole; Rowse, Jarrad W.; Quatromoni, Jon G.; Kirksey, Levester; Caputo, Francis J.; Lyden, Sean P.; Smolock, Christopher J.

doi:10.1016/j.jvs.2022.02.053

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…We used several different types of stent grafts for bridging, including Viabahn VBX and internal iliac components. Similarly favorable outcomes of IIA reconstruction using Viabahn VBX compared with internal iliac components are recently reported [20]. Another technical tip is securing an adequate overlap between the stent grafts (e.g., >2 cm) to avoid a type 3 endoleak.…”

Section: Discussionmentioning

confidence: 62%

Clampless In-Situ Immobilized Branching (CLIMB) to Reconstruct the Internal Iliac Artery

Shirasu

Akai

Motoki

et al. 2022

Life

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Background: Surgical reconstruction of the internal iliac artery (IIA) or its branches is sometimes demanding because of difficulty in distal clamping and suturing in the narrow pelvic space. Here we present a hybrid technique of ClampLess In-situ imMobilized Branching (CLIMB) to reconstruct IIA. Methods: in the CLIMB technique, an 8 mm artificial graft is sutured onto the surface of the common iliac artery (CIA) without clamping. Following puncture of the CIA wall, stent grafts are bridged from IIA to the graft. Finally, the graft is sutured to the ipsilateral external iliac artery (EIA). Concomitant endovascular aneurysm repair or IIA branch embolization can also be performed. We applied this technique to the patients unsuited for other IIA reconstruction. Results: eleven patients underwent the current technique. All but one patient underwent contralateral IIA interruption. Seven patients had a history of aorto-iliac repair before the index surgery. Iliac extender, internal iliac component, Viabahn VBX or Fluency covered stent were used for bridging the graft. Simultaneous IIA branch embolization was performed in 2 patients. Distal landing zones were IIA in 7 grafts, superior gluteal artery in 4 grafts and inferior gluteal artery (IGA) in 1 graft. Technical success was achieved in all cases. No patient complained of buttock claudication or other ischemic symptoms on the treatment side. During a mean follow-up period of 38 months, 11 out of 12 grafts were patent without any related endoleak. One IGA graft occluded at 56 months after surgery. Conclusions: the CLIMB technique is a viable alternative to preserve IIA with an acceptable mid-term durability.

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Section: Discussionmentioning

confidence: 62%

Clampless In-Situ Immobilized Branching (CLIMB) to Reconstruct the Internal Iliac Artery

Shirasu

Akai

Motoki

et al. 2022

Life

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show abstract

“…Moreover, balloon expandable stent grafts can potentially lead to type 1b or type 3 endoleak in the long term, although validity until 2 years is shown. 13 Just in case of distal migration of the main body, surgeons should be prepared for proximal extension with or without renal artery manipulation like chimney EVAR. Leg compression especially at the narrow terminal aorta should be minded.…”

Section: Discussionmentioning

confidence: 99%

Modified adaption of iliac branch endografts in rare congenital anomaly of proximal origin of bilateral internal iliac arteries

Shirasu

Akai

Motoki

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Mid-Term Outcomes of the Iliac Branch Endoprosthesis with Standardized Combinations of Bridging Stent-Grafts for Endovascular Treatment of Aortoiliac Disease with or Without Co-existing Hypogastric Aneurysms (The HYPROTECT Study)

D’Oria,

Pitoulias,

Lepidi

et al. 2024

Cardiovasc Intervent Radiol

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Outcomes of Gore iliac branch endoprosthesis with internal iliac component versus Gore Viabahn VBX

Cited by 5 publications

References 10 publications

Clampless In-Situ Immobilized Branching (CLIMB) to Reconstruct the Internal Iliac Artery

Clampless In-Situ Immobilized Branching (CLIMB) to Reconstruct the Internal Iliac Artery

Modified adaption of iliac branch endografts in rare congenital anomaly of proximal origin of bilateral internal iliac arteries

Mid-Term Outcomes of the Iliac Branch Endoprosthesis with Standardized Combinations of Bridging Stent-Grafts for Endovascular Treatment of Aortoiliac Disease with or Without Co-existing Hypogastric Aneurysms (The HYPROTECT Study)

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