Technical Notes for Treatment of a Pluri-Relapsing Iliac and Femoral Pseudoaneurysm

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• 作者：Emiliano Chisci ; ^{e.chisci@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Enrico Barbanti ; Eugenio Romano ; Nicola Troisi ; Leonardo Ercolini ; Stefano Michelagnoli
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：36
• 期：Complete
• 页码：297.e7-297.e10
• 全文大小：975 K

文摘

To describe a technique that connects an Anaconda stent graft (Vascutek, Terumo, Inchinnan, Scotland) to a target artery in a hybrid method.

Case Report

The patient was a 65-year-old man with a huge pluri-relapsing iliac and femoral pseudoaneurysm of a previous aortobifemoral bypass. An Anaconda stent graft was used to repair the lesion. After partial dissection of the femoral bifurcation, the Anaconda stent graft was partially introduced via a direct puncture in the anterior wall of the femoral artery over a guidewire. The end of the stent graft outside that artery was cut and adjusted to the exact length to be sutured in an end-to-end fashion to the profunda femoral artery. The proximal sutureless telescoping anastomosis avoided a challenging and risky iliac surgical access. The distal surgical anastomosis guaranteed a stable suture in such a dynamic region.

Conclusions

The hybrid technique using the Anaconda stent graft herein described is a safe alternative for challenging iliofemoral aneurysmatic disease treatment. Longer follow-up and more patients are needed before this technique could be recommended for use.