Preservation of the accessory renal arteries after endovascular repair of common iliac artery aneurysm using kissing stent grafts

Abstract

Exclusion of the accessory renal arteries (ARAs) is required during endovascular aneurysm repair if they arise from the sealing zone or aneurysm sac. Here, we report a case of successful endovascular treatment for a common iliac artery aneurysm located close to the aortic bifurcation and associated with nephrotic syndrome in a 51-year-old man. The bilateral ARAs were successfully preserved using kissing stent grafts. During surgery, the proximal ends of endografts inserted from the bilateral femoral arteries were adjusted so that they met at the same level in the aorta, and simultaneous balloon dilatation was performed. This method can be a useful treatment option for common iliac aneurysms in cases with large ARAs.

Segmental replacement to treat abdominal aortic aneurysm with bilateral accessory renal artery

“…Hosaka et al had the same opinion and reported an ARA preservation technique during endovascular therapy. 5 …”