Covered stent in the superior gluteal artery in a hybrid approach to treat internal iliac artery aneurysm: a technical note

Maxime Noël-Lamy; Kong Teng Tan; Thomas Lindsay

doi:10.1016/j.jvir.2015.03.025

Covered stent in the superior gluteal artery in a hybrid approach to treat internal iliac artery aneurysm: a technical note

J Vasc Interv Radiol. 2015 Jul;26(7):1040-5. doi: 10.1016/j.jvir.2015.03.025.

Authors

Maxime Noël-Lamy¹, Kong Teng Tan², Thomas Lindsay³

Affiliations

¹ Department of Vascular and Interventional Radiology, University Health Network, University of Toronto, 585 University Ave., Toronto, ON, Canada M5G 2N2. Electronic address: maxime.noel-lamy@uhn.ca.
² Department of Vascular and Interventional Radiology, University Health Network, University of Toronto, 585 University Ave., Toronto, ON, Canada M5G 2N2.
³ Department of Vascular Surgery(T.L.), University Health Network, University of Toronto, 585 University Ave., Toronto, ON, Canada M5G 2N2.

PMID: 26095271
DOI: 10.1016/j.jvir.2015.03.025

Abstract

This brief report describes a hybrid endovascular and open procedure to treat internal iliac artery (IIA) aneurysms and preserve pelvic blood flow. A covered stent was deployed before surgery in the superior gluteal artery, extending across the IIA aneurysm, with the proximal end in the common iliac artery lumen. During open aortoiliac aneurysm repair, the stent graft was anastomosed in an end-to-side manner to the surgical graft. Four aneurysms were treated in 3 patients. Technical success was achieved in all cases. There were no complications or repeat interventions. Stents were all patent at imaging follow-up (range, 6-25 mo). Patients were free from buttock claudication.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Blood Vessel Prosthesis*
Buttocks / blood supply*
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Humans
Iliac Aneurysm / diagnosis
Iliac Aneurysm / physiopathology
Iliac Aneurysm / surgery*
Iliac Artery / diagnostic imaging
Iliac Artery / physiopathology
Iliac Artery / surgery*
Intermittent Claudication / etiology
Intermittent Claudication / prevention & control
Male
Middle Aged
Prosthesis Design
Radiography, Interventional
Regional Blood Flow
Retrospective Studies
Stents*
Tomography, X-Ray Computed
Treatment Outcome