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- Title
A Novel Hybrid Device for Avoiding Redo Surgery in Synchronous Iliac and Femoral Peri-anastomotic Pseudo-aneurysms.
- Authors
Varcoe, Ramon L.; Jayamanne, Dasantha; Tiwari, Alok; Swinnen, John
- Abstract
Synchronous peri-anastomotic pseudo-aneurysms were discovered in a 65-year-old man 26 years after an aorto-bi-iliac bypass and 11 years after an ileo-femoral bypass. He was a poor surgical candidate owing to his obesity, hostile abdomen, and multiple medical comorbidities. Therefore, a novel hybrid device was designed that was part stent graft with the addition of two 6-mm Dacron limbs for anastomosis onto the superficial femoral and profunda femoris arteries. An unexpected type 2 endoleak developed through the internal iliac artery, which was thought to be occluded. This was successfully treated with a direct injection of bovine thrombin. This was an excellent outcome, and the patient made an uneventful recovery.
- Subjects
ILIAC artery; SURGICAL stents; ANEURYSMS; BLOOD coagulation factors; MEDICAL research; SURGERY
- Publication
Vascular & Endovascular Surgery, 2008, Vol 42, Issue 6, p579
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574408320526