Parodi J C, Ferreira M
Instituto Cardiovascular de Buenos Aires, Argentina.
J Endovasc Surg. 1999 Nov;6(4):342-7. doi: 10.1177/152660289900600408.
To report a surgical technique to preserve the internal iliac arteries (IIAs) and facilitate endovascular repair of abdominal aortic aneurysms (AAAs) with extensive iliac artery involvement.
A new iliac artery bifurcation is created surgically through an 8-cm lower left abdominal incision by implanting the IIA onto the distal external iliac artery either directly or by using a tube graft interposition. Careful technique is required to avoid embolic complications, but after relocating the bifurcation, aortic endografting can be performed, either simultaneously or staged, depending upon patient characteristics.
Relocation of the iliac artery bifurcation appears to be a good alternative to preserve pelvic arterial flow in selected candidates for endoluminal AAA repair.
报告一种外科技术，用于保留髂内动脉（IIA）并促进对广泛累及髂动脉的腹主动脉瘤（AAA）进行血管内修复。
通过左下腹一个8厘米的切口，采用外科手术创建一个新的髂动脉分叉，将IIA直接或通过植入一段人工血管间置移植到髂外动脉远端。需要小心操作以避免栓塞并发症，但是在重新定位分叉后，可根据患者特征同期或分期进行主动脉腔内修复。
对于腔内AAA修复的特定候选患者，髂动脉分叉重新定位似乎是保留盆腔动脉血流的一个良好选择。
