Minimally invasive surgical repair of iliac artery endofibrosis

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Presentation transcript:

Minimally invasive surgical repair of iliac artery endofibrosis Adam Q. Howard, MD, FRCS, Sidhartha Sinha, MA, MRCS, George Peach, MRCS, Robert J. Hinchliffe, MD, FRCS Journal of Vascular Surgery Volume 58, Issue 6, Pages 1657-1660 (December 2013) DOI: 10.1016/j.jvs.2013.01.027 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Diagnostic angiograms demonstrating no visible stenoses in the iliac system. Journal of Vascular Surgery 2013 58, 1657-1660DOI: (10.1016/j.jvs.2013.01.027) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Photograph demonstrating right lateral position of patient with laparoscopic ports in situ (left thigh marked by black arrow; umbilical port marked by white arrow). B, Intraoperative photograph showing vascular slings around distal common iliac artery (white arrow) and internal iliac artery (black arrow) and fibrotic appearance of mid external iliac artery (EIA) (double arrow). C, Intraoperative photograph showing cleavage plane for endarterectomy (arrow). D, Photograph of excised endofibrosis specimen. E, Intraoperative photograph showing sutured vein patch-plasty (dotted line delineates patch). F, Photomicrograph of endofibrotic specimen histology demonstrating loosely packed linear strips of fibro-myxoid material containing fibroblasts with significant duplication of the internal elastic lamina (black arrow). Journal of Vascular Surgery 2013 58, 1657-1660DOI: (10.1016/j.jvs.2013.01.027) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Photograph showing healed abdominal wounds at 6-week follow-up (arrows). B, Photograph showing healed leg wound at 6-week follow-up (arrow). Journal of Vascular Surgery 2013 58, 1657-1660DOI: (10.1016/j.jvs.2013.01.027) Copyright © 2013 Society for Vascular Surgery Terms and Conditions