Endovascular treatment of aortoiliac aneurysm: first report of a case using a Brazilian device with an iliac branch

Aortoiliac aneurysms are particularly challenging to treat using a totally endovascular approach, because embolization of the internal iliac arteries can cause major complications. Several conventional and endovascular surgical techniques have been described that offer preservation of at least one internal iliac branch and options for completely endovascular treatment include branched stentgrafts and the parallel grafts technique. Here, the authors report the first case of endovascular treatment with preservation of an internal iliac branch using a Brazilian iliac branch device.

Keywords:
abdominal aortic aneurysm; endovascular procedures; iliac artery

Authorship

Fábio Augusto Cypreste Oliveira ^**Correspondence Fabio Augusto Cypreste Oliveira Rua dos Jacarandás, s/n, quadra 04, lote 21 - Jardins Valência CEP 74885-857 - Goiânia (GO), Brazil Tel.: + 55 (62) 98147-5111 E-mail: fabioacoliveira@gmail.com

Hospital São Francisco de Assis, Serviço de Angiologia, Cirurgia Vascular, Endovascular e Laserterapia – AngioGyn, Goiânia, GO, Brazil.Hospital São Francisco de Assis, Serviço de Angiologia, Cirurgia Vascular, Endovascular e Laserterapia – AngioGyn, Goiânia, GO, Brazil.BrazilGoiânia, GO, BrazilHospital São Francisco de Assis, Serviço de Angiologia, Cirurgia Vascular, Endovascular e Laserterapia – AngioGyn, Goiânia, GO, Brazil.

Carlos Eduardo de Sousa Amorelli

Fábio Lemos Campedelli

Davi Heckmann

CENTERVASC-Rio, Cirurgia Vascular, Rio de Janeiro, RJ, Brazil.CENTERVASC-RioBrazilRio de Janeiro, RJ, BrazilCENTERVASC-Rio, Cirurgia Vascular, Rio de Janeiro, RJ, Brazil.

Juliana Caetano Barreto

Universidade Federal de Goiás – UFG, Hospital das Clínicas, Infectologia, Goiânia, GO, Brazil.Universidade Federal de GoiásBrazilGoiânia, GO, BrazilUniversidade Federal de Goiás – UFG, Hospital das Clínicas, Infectologia, Goiânia, GO, Brazil.

Maria Cunha Ribeiro Amorelli

Instituto Nacional de Câncer – INCA, Hematologia e Hemoterapia, Goiânia, GO, Brazil.Instituto Nacional de CâncerBrazilGoiânia, GO, BrazilInstituto Nacional de Câncer – INCA, Hematologia e Hemoterapia, Goiânia, GO, Brazil.

Ana Flávia Guerra Campedelli

Hospital Araújo Jorge, Radioterapia, Goiânia, GO, Brazil.Hospital Araújo JorgeBrazilGoiânia, GO, BrazilHospital Araújo Jorge, Radioterapia, Goiânia, GO, Brazil.

Philippe Moreira da Silva

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

*Correspondence Fabio Augusto Cypreste Oliveira Rua dos Jacarandás, s/n, quadra 04, lote 21 - Jardins Valência CEP 74885-857 - Goiânia (GO), Brazil Tel.: + 55 (62) 98147-5111 E-mail: fabioacoliveira@gmail.com

Author information FACO - Board-certified in Vascular Surgery (angioradiology, endovascular surgery, and Doppler vascular ultrasound) from Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV), Colégio Brasileiro de Radiologia (CBR), and Associação Médica Brasileira (AMB). CESA - Board-certified in Vascular Surgery (angioradiology and endovascular surgery) from Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV), Colégio Brasileiro de Radiologia (CBR) and Associação Médica Brasileira (AMB). FLC - Board-certified in Vascular Surgery (angioradiology and endovascular surgery) from Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV), Colégio Brasileiro de Radiologia (CBR) and Associação Médica Brasileira (AMB); MSc in Genetics from PUC Goiás; General surgeon and director, Hospital São Francisco de Assis. DH - Board-certified in Angiology and Vascular Surgery from Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV) and Associação Médica Brasileira (AMB). JCB - Board-certified infectionist from MEC and Associação Médica Brasileira (AMB); Member, Sociedade Brasileira de Infectologia. MCRA - Board-certified in Clinical Medicine from MEC and Associação Médica Brasileira (AMB); Member, Associação Brasileira de Hematologia e Hemoterapia. AFGC - Resident physician (radiotherapy), Hospital Araújo Jorge. PMS - Nursing and surgical technician, Angiogyn.

Author contributions Conception and design: FACO Analysis and interpretation: FACO, CESA, FLC Data collection: FACO, DH, JCB, MCRA, AFGC, PMS Writing the article: FACO, CESA, FLC, JCB Critical revision of the article: FACO, CESA, FLC, DH Final approval of the article*: FACO, CESA, FLC, DH, JCB, MCRA, AFGC, PMS Statistical analysis: N/A. Overall responsibility: FACO, CESA, FLC *All authors have read and approved of the final version of the article submitted to J Vasc Bras.

SCIMAGO INSTITUTIONS RANKINGS

CENTERVASC-Rio, Cirurgia Vascular, Rio de Janeiro, RJ, Brazil.CENTERVASC-RioBrazilRio de Janeiro, RJ, BrazilCENTERVASC-Rio, Cirurgia Vascular, Rio de Janeiro, RJ, Brazil.

Hospital Araújo Jorge, Radioterapia, Goiânia, GO, Brazil.Hospital Araújo JorgeBrazilGoiânia, GO, BrazilHospital Araújo Jorge, Radioterapia, Goiânia, GO, Brazil.

Figures

Figures (6)

Thumbnail

Figure 1
Coronal preoperative angiotomography.

Thumbnail

Figure 2
Preoperative angiotomography in 3D reconstruction.

Thumbnail

Figure 3
Initial design of customized endoprosthesis with iliac branch.

Thumbnail

Figure 4
Bench set up of customized endoprosthesis with iliac branch and pre-catheterization system for deployment in ex vivo test.

Thumbnail

Figure 5
Control angiotomography in 3D reconstruction.

Thumbnail

Figure 6
Sagittal control angiotomography showing exclusion of left internal iliac artery aneurysm with preservation of iliac branch patency.

Figure 1 Coronal preoperative angiotomography.

Figure 2 Preoperative angiotomography in 3D reconstruction.

Figure 3 Initial design of customized endoprosthesis with iliac branch.

Figure 4 Bench set up of customized endoprosthesis with iliac branch and pre-catheterization system for deployment in ex vivo test.

Figure 5 Control angiotomography in 3D reconstruction.

Figure 6 Sagittal control angiotomography showing exclusion of left internal iliac artery aneurysm with preservation of iliac branch patency.

How to cite

copy

Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) Rua Estela, 515, bloco E, conj. 21, Vila Mariana, CEP04011-002 - São Paulo, SP, Tel.: (11) 5084.3482 / 5084.2853 - Porto Alegre - RS - Brazil
E-mail: secretaria@sbacv.org.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Português
Inglês

Versões e tradução automática

Versão original do texto

English
Português

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

Endovascular treatment of aortoiliac aneurysm: first report of a case using a Brazilian device with an iliac branch

PlumX

Mensagem

[1] Conflicts of interest: No conflicts of interest declared concerning the publication of this article.