Unfavorable iliac artery anatomy causing access limitations during endovascular abdominal aortic aneurysm repair: application of the endoconduit technique

Rodrigo Gibin Jaldin; Marcone Lima Sobreira; Regina Moura; Matheus Bertanha; Jamil Víctor de Oliveira Mariaúba; Rafael Elias Farres Pimenta; Ricardo de Alvarenga Yoshida; Winston Bonetti Yoshida

doi:10.1590/1677-5449.0021

Therapeutic Challenge

Unfavorable iliac artery anatomy causing access limitations during endovascular abdominal aortic aneurysm repair: application of the endoconduit technique

Tratamento endovascular do aneurisma de aorta abdominal associado à dificuldade no acesso aórtico devido a artérias ilíacas de pequeno calibre: aplicação técnica do Endoconduíte

Rodrigo Gibin Jaldin; Marcone Lima Sobreira; Regina Moura; Matheus Bertanha; Jamil Víctor de Oliveira Mariaúba; Rafael Elias Farres Pimenta; Ricardo de Alvarenga Yoshida; Winston Bonetti Yoshida

http://dx.doi.org/10.1590/1677-5449.0021 J Vasc Bras, vol.13, n4, p.318-324, 2014

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Abstract

Endovascular aneurysm repair (EVAR) is already considered the first choice treatment for abdominal aortic aneurysms (AAA). Several different strategies have been used to address limitations to arterial access caused by unfavorable iliac artery anatomy. The aim of this report is to illustrate the advantages and limitations of each option and present the results of using the internal endoconduit technique and the difficulties involved.

Keywords

aortic aneurysm, endovascular procedures, surgical procedures, minimally invasive, iliac artery, vascular access devices

Resumo

O tratamento endovascular para aneurisma de aorta abdominal (AAA) já está bastante difundido, sendo considerado como primeira escolha na maioria dos casos. Limitações no acesso pelas artérias ilíacas tortuosas, com estenoses, calibre pequeno ou doença oclusiva já foram contornadas com o uso de condutos, dissecção direta aortoilíaca, angioplastias, entre outros procedimentos. O objetivo deste desafio é mostrar as vantagens e limitações de cada alternativa, além de apresentar o resultado e as dificuldades com o endoconduíte.

Palavras-chave

aneurisma aórtico, procedimentos endovasculares, procedimentos cirúrgicos minimamente invasivos, artéria ilíaca, dispositivos de acesso vascular

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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">

Unfavorable iliac artery anatomy causing access limitations during endovascular abdominal aortic aneurysm repair: application of the endoconduit technique

Tratamento endovascular do aneurisma de aorta abdominal associado à dificuldade no acesso aórtico devido a artérias ilíacas de pequeno calibre: aplicação técnica do Endoconduíte

Rodrigo Gibin Jaldin; Marcone Lima Sobreira; Regina Moura; Matheus Bertanha; Jamil Víctor de Oliveira Mariaúba; Rafael Elias Farres Pimenta; Ricardo de Alvarenga Yoshida; Winston Bonetti Yoshida

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