Successful recanalization of a left common iliac artery chronic total occlusion adjacent to an ectopic renal artery at the aortoiliac bifurcation

2013 ◽  
Vol 41 (4) ◽  
pp. 347-350 ◽  
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
Common Iliac Artery ◽  
Total Occlusion ◽  
Left Common Iliac Artery

scholarly journals Dual alternate access sites for the treatment of an ostial left common iliac artery chronic total occlusion

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092919
Author(s):  
Mohan Satish ◽  
Sanjum S Sethi ◽  
Sahil Parikh ◽  
Philip Green ◽  
Justin Ratcliffe
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
Common Iliac Artery ◽  
Ulnar Artery ◽  
Common Femoral Artery ◽  
Peroneal Artery ◽  
True Lumen ◽  
Total Occlusion ◽  
Left Common Iliac Artery

Growing endovascular strategies with TASC D lesions in aortoiliac disease reflect increasing technical success with evidenced safety and efficacy. In cases of failed transfemoral access, revascularization of iliac chronic total occlusions has prompted the utilization of other alternate access sites (e.g. transradial and transbrachial approaches) as important options in aortoiliac TASC D lesions. We describe a case of successful revascularization of an occluded ostial left common iliac artery in an 81-year-old man using a dual ulnar and tibioperoneal approach (absent radial artery). A Controlled Antegrade and Retrograde Tracking technique was performed where a balloon was advanced from the peroneal artery into the distal cap of the chronic total occlusion in the proximal common femoral artery. Balloon inflation was performed and a glidewire from transulnar access was advanced and re-entered into the true lumen in the common femoral artery. The wire was then snared and externalized out the transpedal access site creating a continuous true lumen from the ulnar artery to the peroneal artery. To reconstruct the aortic bifurcation, kissing balloon inflations were performed from the peroneal as well as the ulnar artery approaches. A 10 mm × 59 mm balloon expandable stent was placed in the ostial left common iliac artery and a 8 mm × 60 mm self-expanding stent was placed in the left external iliac artery successfully.

scholarly journals TCTAP C-200 Peripheral Arterial Disease with Chronic Total Occlusion over Right Common Iliac Artery

2016 ◽  
Vol 67 (16) ◽  
pp. S340-S342
Author(s):  
Tzu Chieh Lin ◽  
Chun-Yuan Chu ◽  
Wen-Hsien Lee ◽  
Po-Chao Hsu ◽  
Ho-Ming Su ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
Common Iliac Artery ◽  
Arterial Disease ◽  
Total Occlusion ◽  
Peripheral Arterial

Successful outside-the-stent stenting for in-stent chronic total occlusion in the common iliac artery

2012 ◽  
Vol 27 (2) ◽  
pp. 131-136 ◽  
Author(s):  
Takayuki Ishihara ◽  
Osamu Iida ◽  
Shin Okamoto ◽  
Tomoharu Dohi ◽  
Kei Sato ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
Common Iliac Artery ◽  
Total Occlusion ◽  
The Common

scholarly journals Treatment of an external iliac artery chronic total occlusion using alternate access sites

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Justin Ratcliffe ◽  
Mike Gorenchtein ◽  
Pankaj Khullar ◽  
Abel Casso Dominguez ◽  
Mohan Satish ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
External Iliac Artery ◽  
Arterial Disease ◽  
Patient Comfort ◽  
Vascular Lesions ◽  
Symptom Improvement ◽  
Total Occlusion ◽  
Maximal Medical Therapy ◽  
Peripheral Arterial

Abstract Background With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases. Case presentation A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up. Conclusion This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lower-extremity vascular lesions.

scholarly journals Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Guilherme Centofanti ◽  
Kenji Nishinari ◽  
Bruna De Fina ◽  
Rafael Noronha Cavalcante ◽  
Mariana Krutman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Iliac Artery ◽  
Computed Tomography Angiography ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Maximum Diameter ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Common Iliac Artery Aneurysm

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

scholarly journals A case of inflammatory abdominal aortic aneurysm diagnosed clinically with left common iliac artery aneurysm.

Ensho ◽  
2000 ◽  
Vol 20 (5) ◽  
pp. 619-623
Author(s):  
Hiroaki Inamura ◽  
Motohiro Kurosawa ◽  
Jun-ichiro Morioka ◽  
Rieko Nakagami ◽  
Yutaka Mizushima ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Abdominal Aortic ◽  
Common Iliac Artery Aneurysm ◽  
Inflammatory Abdominal Aortic Aneurysm
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