scholarly journals Recanalization of Total Aortoiliac Occlusion via Contralateral Aortofemoral Bypass Graft

Author(s):  
Mahmut Tuna Katircibasi
2018 ◽  
Vol 26 (1) ◽  
pp. 128-132 ◽  
Author(s):  
Mario D’Oria ◽  
Marco Pipitone ◽  
Francesco Riccitelli ◽  
Davide Mastrorilli ◽  
Cristiano Calvagna ◽  
...  

Purpose: To report an alternative approach for rescue of an occluded aortofemoral bypass using the Gore Excluder Iliac Branch Endoprosthesis (IBE). Case Report: A 52-year-old man presented with acute right limb ischemia because of displaced and occluded iliac stents and was treated with aortofemoral bypass. On the third postoperative day, there was early bypass failure due to distal embolization from aortic thrombus. After fluoroscopy-guided balloon thrombectomy of the bypass, an endovascular bailout strategy was used. The Gore Excluder IBE was deployed below the renal arteries (with the external iliac limb opening in the surgical prosthesis and the gate opening within the aortic lumen). After antegrade catheterization of the gate, a Gore Viabahn endoprosthesis was inserted as the bridging endograft and deployed so that it landed just above the preimplanted aortoiliac kissing stents without overlapping them. Completion angiography showed technical success without complications; results were sustained at 1-year follow-up. Conclusion: The Gore Excluder IBE may represent a versatile solution for the rescue of complex cases when open surgery would be associated with a considerable risk. This off-label application of a well-recognized endovascular device is safe and feasible and may prove useful as a valuable alternative in properly selected patients.


2019 ◽  
Vol 1 (5) ◽  
pp. 751-754
Author(s):  
Sabeeda Kadavath ◽  
Aisha Siraj ◽  
Negar Salehi ◽  
Mohammed Moursi ◽  
Barry F. Uretsky

1975 ◽  
Vol 47 (6) ◽  
pp. 617-621 ◽  
Author(s):  
E. WALLIJN ◽  
G. RENDERS ◽  
L. VEREECKEN

2019 ◽  
Vol 57 (5) ◽  
pp. 650-657 ◽  
Author(s):  
Akiko Tanaka ◽  
Harleen K. Sandhu ◽  
Alexa Perlick ◽  
Charles C. Miller ◽  
Naveed U. Saqib ◽  
...  

1990 ◽  
Vol 4 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Oscar Nussaume ◽  
Mazel Elzaabi ◽  
Philippe Icard ◽  
Catherine Branger ◽  
Samuel Bouttier ◽  
...  

2021 ◽  
Vol 2 (1) ◽  
pp. 41
Author(s):  
R. Muhammad Budiarto, MD ◽  
M. Rifqi D. Hasan

A 44-year-old man was admitted to hospital to be performed re-thrombectomy after previously performed thrombectomy at the referring hospital but did not show clinical improvement. CT angiography results before re-thrombectomy showed a central thrombus measuring 1.1 cm in diameter, and an impression of 2.6 cm long at the branching of the right external Iliaca artery which caused total obstruction of the right illiaca external artery to the distal. Aortofemoral bypass graft surgery is a procedure utilized commonly for the treatment of aortoiliac occlusive disease. The treatment given to manage symptoms if medical management or minimally invasive therapy, such as balloon angioplasty and stenting, was unsuccessful or unsuitable for the patient. Aortofemoral bypass graft surgical procedure was performed on the patient. However, post procedure angiography showed no visible flow through the newly placed graft. A repair graft procedure was planned for the patient, but the patient refused to undergo further surgical procedures.


2018 ◽  
Vol 7 (3) ◽  
Author(s):  
Mukul Bhattarai ◽  
Tamer Hudali

The incidence of massive chylous ascites and chylothorax after aortofemoral bypass grafting (AFBG) procedure is unknown. Leakage of chyle results in severe malnutrition and infection which can be life threatening. Because of the rarity of disease, the definitive guideline on management of such extensive accumulation of chyle is lacking. We present a case of a 68- year-old gentleman who developed large chylous ascites and chylous pleural effusions causing respiratory distress. His history was significant for aortofemoral bypass graft procedure 8 weeks prior to index presentation. He was successfully managed with chylous fluid drainage, judicious use of diuretics, adherence to a low-fat diet, and supplementation with medium-chain triglycerides.


2019 ◽  
Vol 58 (6) ◽  
pp. e168
Author(s):  
Akiko Tanaka ◽  
Harleen Sandhu ◽  
Alexa Perlick ◽  
Charles Miller ◽  
Naveed Saqib ◽  
...  

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