Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492006000300011
Jornal Vascular Brasileiro
Case Report

Endoprótese ramificada de artéria ilíaca interna no tratamento de aneurisma aórtico associado a aneurisma bilateral das artérias ilíacas comuns

Branched stent-graft to the internal iliac artery for treatment of aortic aneurysm associated with bilateral common iliac artery aneurysm

Marcelo Martins da Volta Ferreira; Luis Fernando Capotorto; Giafar Abuhadba Rondon; Marcelo Wiliams Monteiro; Cyntia de Moraes Rego Soares; Luiz Lanziotti Azevedo

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Resumo

A embolização das artérias ilíacas internas é usualmente realizada durante a correção endovascular dos aneurismas aorto-ilíacos, visando prevenir a ocorrência de endoleak. Entretanto, é freqüente a associação desse procedimento com inúmeras seqüelas pós-operatórias, em decorrência da diminuição do fluxo sangüíneo pélvico. Em virtude disso, torna-se necessário o desenvolvimento de dispositivos e estratégias para a preservação das artérias ilíacas internas durante a correção endovascular dos aneurismas aorto-ilíacos. Descrevemos aqui o emprego pioneiro de uma endoprótese ramificada Helical Sidebranch (Cook) para a artéria ilíaca interna, realizado com sucesso técnico imediato e controle pós-operatório satisfatório.

Palavras-chave

Aneurisma aórtico, artéria ilíaca, cirurgia

Abstract

Embolization of internal iliac arteries is usually performed during endovascular repair of aortoiliac aneurysms, with the aim of preventing occurrence of endoleaks. However, the association of this procedure with several postoperative sequelae is frequent, due to reduced pelvic blood flow. For this reason, there is the need to develop devices and strategies to preserve internal iliac arteries during endovascular repair of aortoiliac aneurysms. In this study, we describe a pioneering use of a Helical Sidebranch (Cook) branched stent-graft to the internal iliac artery, which was performed with immediate technical success and satisfactory postoperative control.

Keywords

Aortic aneurysm, iliac artery, surgery

References

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