Bifurcated Endoprosthesis for Treatment of Aortoiliac Occlusive Lesions

Maynar, Manuel; Zander, Tobías; Qian, Zhenghong; Rostagno, Román; Llorens, R.; Zerolo, I.; Kirsch, David; Sorrells, Lisa; Castañeda, Wilfrido R.

doi:10.1583/04-1370r.1

Cited by 29 publications

(14 citation statements)

References 20 publications

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“…In addition, Maynar at al. 10 published a series of five patients that were successfully treated with the Excluder device (W.L. Gore and associates, Flagstaff, AZ) for TASC C and D aortoiliac occlusive disease.…”

Section: Discussionmentioning

confidence: 99%

The Nellix™ EndoVascular sealing system in patients with abdominal aortic aneurysms in conjunction with iliac artery occlusive disease

et al. 2016

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Introduction Concomitant abdominal aortic aneurysm formation and aortoiliac occlusive disease is a challenging combination, often requiring open reconstructive surgery. In this study, we have assessed a single center experience of the Nellix EndoVascular Aneurysm Sealing System in the treatment of an abdominal aortic aneurysm in conjunction with iliac artery occlusive disease. Methods Retrospectively case files of patients treated with Nellix EndoVascular Aneurysm Sealing System in a single center were reviewed. The primary endpoints of the study were the technical success of Nellix EndoVascular Aneurysm Sealing System in patients with coincidental iliac artery occlusive disease and the successful exclusion of the aneurysm during follow-up. Results Of the 96 patients that were treated with Nellix EndoVascular Aneurysm Sealing System, five were identified that had an abdominal aortic aneurysm in conjunction with iliac artery occlusive disease. Treated patients had either unilateral (n = 4) or bilateral (n = 1) common iliac artery occlusive disease varying from 70% stenosis to complete occlusions. The lesion length varied from 5 to 50 mm and in two cases it involved an occluded bare metal stent. The indication for surgery was the abdominal aortic aneurysm in all patients, including three also suffering from claudication. In all patients the iliac artery occlusive disease was pretreated with balloon-expandable covered stents. Technical success was achieved in all five patients. After a median follow-up of nine months all stents were patent with no signs of endoleak and stable aneurysm diameters. All patients were free of intermittent claudication or ischemic wounds. Conclusion Nellix EndoVascular Aneurysm Sealing System seems feasible and safe in patients with a combination of abdominal aortic aneurysm and iliac artery occlusive disease.

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Section: Discussionmentioning

confidence: 99%

The Nellix™ EndoVascular sealing system in patients with abdominal aortic aneurysms in conjunction with iliac artery occlusive disease

et al. 2016

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“…CBESs in a kissing stent configuration create a higher radial mismatch compared with the use of BMSs, in theory leading to thrombus formation by dead space perfusion (28). To create a more physiologic situation, the use of endovascular aneurysm repair devices and the covered endovascular reconstruction of the aortic bifurcation technique have been described (29,30).…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Occlusive Lesions in the Aortic Bifurcation with Kissing Polytetrafluoroethylene-Covered Stents

Grimme

Spithoven

Zeebregts

et al. 2015

Journal of Vascular and Interventional Radiology

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“…Although there have been previous descriptions of endoprostheses for the treatment of aortoiliac disease, [3][4][5][6][7] Maynar et al performed the procedure on five patients using a staged technique. 5 In these cases, initial endovascular angioplasty and/or thrombolysis were performed on the day prior to stent graft placement. There has been a description of treatment of 34 patients with iliac occlusive disease with stent graft placement.…”

Section: Discussionmentioning

confidence: 99%

Subintimal Stent Graft Reconstruction of an Infrarenal Aortic Occlusion

Stirling

Miller²,

Smith³

et al. 2007

Semin intervent Radiol

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The traditional approach to revascularization in aortoiliac disease is surgical. Endovascular treatment techniques for revascularization have emerged in recent years and have resulted in less invasive options for management of vascular disease. In this article, we describe a novel approach to endovascular stent graft reconstruction of a heavily calcified infrarenal aortic occlusion. The interventional management of aortic occlusions is subsequently discussed.

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Bifurcated Endoprosthesis for Treatment of Aortoiliac Occlusive Lesions

Abstract: Endovascular placement of a bifurcated stent-graft appears to be technically feasible, effective, and safe in the management of aortoiliac occlusive disease.

Cited by 29 publications

References 20 publications

The Nellix™ EndoVascular sealing system in patients with abdominal aortic aneurysms in conjunction with iliac artery occlusive disease

The Nellix™ EndoVascular sealing system in patients with abdominal aortic aneurysms in conjunction with iliac artery occlusive disease

Endovascular Treatment of Occlusive Lesions in the Aortic Bifurcation with Kissing Polytetrafluoroethylene-Covered Stents

Subintimal Stent Graft Reconstruction of an Infrarenal Aortic Occlusion

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