Abstract
A 77-year-old man with an infrarenal abdominal aortic aneurysm was referred with a complex medical history including pancreatitis, chronic renal failure, atrial fibrillation, and a cerebral infarction. He also had a history of atherosclerosis obliterans, treated with a vascular bypass using an 8-mm prosthetic graft 9 years previously. His complicated anatomy, including a small access route and a large common iliac artery, suggested usage of Powerlink, a bifurcated stent graft through the previously placed graft, as an access route. The patient was discharged from the hospital with a type III endoleak, which was completely resolved 5 months after discharge.
Similar content being viewed by others
References
Kondo Y, Dardik A, Muto A, Nishibe M, Nishibe T. Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: report of a case. Surg Today 2009;39:418–420.
Murray D, Ghosh J, Khwaja N, Murphy NO, Bagunied MS, Walker MG. Access for endovascular aneurysm repair. J Endovasc Ther 2006;13:754–761.
Criado FJ. Iliac arterial conduits for endovascular access: technical considerations. J Endovasc Ther 2007;14:347–351.
Scurr J, How T, Vallabhaneni SR, Torella F, McWilliams RG. EVAR in iliac occlusion. J Endovasc Ther 2007;14:59–61.
Lee RE, Baird RN. A haemodynamic evaluation of the femorofemoral crossover bypass. Eur J Vasc Surg 1990;4:167–172.
Schneider JR, Besso SR, Walsh DB, Zwolak RM, Cronenwett JL. Femorofemoral versus aortobifemoral bypass: outcome and haemodynamic results. J Vasc Surg 1994;19:43–57.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hori, D., Yuri, K., Nemoto, K. et al. Successful treatment of an abdominal aortic aneurysm by endovascular graft placement through a previously placed prosthetic graft: Report of a case. Surg Today 40, 1169–1172 (2010). https://doi.org/10.1007/s00595-009-4184-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-009-4184-5