• J. Vasc. Surg. · Aug 2011

    Case Reports

    Hypogastric preservation with Viabahn stent graft during endovascular aneurysm repair.

    • Steven G Friedman and Herrick Wun.
    • Department of Surgery, New York Downtown Hospital, New York, NY, USA. steven.friedman@downtownhospital.org
    • J. Vasc. Surg. 2011 Aug 1;54(2):504-6.

    AbstractThe presence of bilateral iliac aneurysms extending to the iliac bifurcations, in conjunction with an abdominal aortic aneurysm, complicates endovascular repair because of the difficulty of preserving one or both hypogastric arteries. Several open techniques have been suggested for hypogastric preservation, but they usually involve some type of anatomic or extra-anatomic bypass. Endovascular techniques for hypogastric preservation include branch iliac grafts, chimney grafts, and bellbottom limbs. We report the use of a Viabahn stent graft (W. L. Gore and Associates, Flagstaff, Ariz) within the iliac limb of a Powerlink device (Endologix, Inc, Irvine, Calif) to preserve a hypogastric artery.Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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