A hybrid approach using a composite endovascular and open graft procedure for a symptomatic common femoral aneurysm extending well above the inguinal.

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Presentation transcript:

A hybrid approach using a composite endovascular and open graft procedure for a symptomatic common femoral aneurysm extending well above the inguinal ligament Chris N. Bakoyiannis, MD, Nikolaos S. Tsekouras, MD, Konstantinos P. Economopoulos, MD, Elias A. Bastounis, MD Journal of Vascular Surgery Volume 48, Issue 2, Pages 461-464 (August 2008) DOI: 10.1016/j.jvs.2008.03.027 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative angiography shows the extended common femoral artery aneurysm (A) without bony landmarks and (B) with bony landmarks (arrows denote the proximal neck of the aneurysm). B, The position of the inguinal ligament is defined by a straight dashed line from the pubic tubercle to the anterior superior iliac spine. Journal of Vascular Surgery 2008 48, 461-464DOI: (10.1016/j.jvs.2008.03.027) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Intraoperative photograph shows the extended common femoral artery aneurysm and the distal part of the second endograft after the femoral part of the aneurysm was opened. The arrow points to the balloon catheter used to occlude the proximal part of the first stent graft and achieve vascular control. B, End-to-end anastomoses were constructed between the distal part of the Dacron graft and the deep femoral artery (thin arrow) and between the distal part of the jump graft and the superficial femoral artery (thick arrow). Journal of Vascular Surgery 2008 48, 461-464DOI: (10.1016/j.jvs.2008.03.027) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Postoperative angiography of the extended common femoral artery aneurysm demonstrates primary technical success with exclusion of the aneurysm and no endoleak. Journal of Vascular Surgery 2008 48, 461-464DOI: (10.1016/j.jvs.2008.03.027) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions