[MO-85] Presentation Awards
A case of abdominal aortic aneurysm with chronic total occlusion in bilateral iliac artery.
A 76-year-old man had been introduced from clinic due to intermittent claudication since 2 months ago.
The contrast enhanced CT images showed bilateral iliac artery total occlusion and abdominal aortic aneurysm (AAA) which maximal diameter was 55mm.
The CT images also showed sigmoid colon cancer and hilarity lung cancer.
We discussed the sequence of treatment and examinations for this patient with pulmonologists and gastroenterologists and decided to treat the AAA first.
At first session, endovascular treatment (EVT) for left side iliac artery CTO lesion was performed.
Two VBX stent grafts were deployed from terminal aorta to external iliac artery without retrace the true lumen.
Second session, EVT for right side iliac artery CTO lesion using VBX and Endovascular abdominal aortic repair (EVAR) for AAA using Endurant Ⅱs were performed.
Finally, there were no endoleaks and the blood flow of bilateral iliac arteries were fine.
VBX stent grafts were effective for iliac artery CTO lesion. Regarding we do not have to care about the wire passing position whether true lumen or not, the procedure time was able to be short and simple. Furthermore, the expansion force of VBX is strong and there was no metal strut inside the graft, VBX is also useful for access route pasty for large size delivery system like stent grafts.
The contrast enhanced CT images showed bilateral iliac artery total occlusion and abdominal aortic aneurysm (AAA) which maximal diameter was 55mm.
The CT images also showed sigmoid colon cancer and hilarity lung cancer.
We discussed the sequence of treatment and examinations for this patient with pulmonologists and gastroenterologists and decided to treat the AAA first.
At first session, endovascular treatment (EVT) for left side iliac artery CTO lesion was performed.
Two VBX stent grafts were deployed from terminal aorta to external iliac artery without retrace the true lumen.
Second session, EVT for right side iliac artery CTO lesion using VBX and Endovascular abdominal aortic repair (EVAR) for AAA using Endurant Ⅱs were performed.
Finally, there were no endoleaks and the blood flow of bilateral iliac arteries were fine.
VBX stent grafts were effective for iliac artery CTO lesion. Regarding we do not have to care about the wire passing position whether true lumen or not, the procedure time was able to be short and simple. Furthermore, the expansion force of VBX is strong and there was no metal strut inside the graft, VBX is also useful for access route pasty for large size delivery system like stent grafts.