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A novel hybrid approach to the treatment of common iliac aneurysms: Antegrade endovascular hypogastric stent grafting and femorofemoral bypass grafting 

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Presentation on theme: "A novel hybrid approach to the treatment of common iliac aneurysms: Antegrade endovascular hypogastric stent grafting and femorofemoral bypass grafting "— Presentation transcript:

1 A novel hybrid approach to the treatment of common iliac aneurysms: Antegrade endovascular hypogastric stent grafting and femorofemoral bypass grafting  Luis R. Leon, MD, RVT, Joseph L. Mills, MD, Shemuel B. Psalms, BSHS, Kaoru Goshima, MD, Son T. Duong, MD, Chidi Ukatu, MD  Journal of Vascular Surgery  Volume 45, Issue 6, Pages (June 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Left panel, Computed tomography scan shows a residual 3.8-cm left common iliac artery aneurysm (white arrow) that progressively enlarged after an aortobiiliac bypass performed seven years prior. Right panel, Angiography confirms a large left common iliac aneurysm (black arrow). Note the sharp angulation of the left hypogastric artery takeoff. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Left panel, Angiogram with magnification of the left hypogastric artery aneurysm (white arrow), extending from an inch distal to the left limb of the aortobiiliac bypass graft and ending at the common iliac artery bifurcation. Right panel, Completion angiography after endovascular repair of the left common iliac artery aneurysm demonstrates successful aneurysmal exclusion with no endoleaks after stent (black arrow) balloon dilatation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Completion angiography confirms both successful aneurysmal exclusion without endoleak (black arrow) and widely patent right-to-left femorofemoral crossover bypass graft (white arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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