Georgakarakos Efstratios, Schoretsanitis Nikolaos, Souftas Vasileios D, Argyriou Chris, Moustafa Erchan, Georgiadis George S, Lazarides Miltos K
Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Dragana, Greece
Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Dragana, Greece.
Vascular. 2015 Aug;23(4):440-3. doi: 10.1177/1708538115585072. Epub 2015 Apr 28.
To present a case of inadvertent collapse of the contralateral limb gate caused by misorientation during the deployment of the Ovation Abdominal Stent Graft System in a narrow aortic lumen and the bailout conversion to aortouniiliac modification, using a covered stent to exclude the orifice of the internal iliac artery (IIA).
Despite the repeated efforts from the femoral and brachial site, the collapsed/occluded contralateral limb gate could not be catheterized. In order to exclude successfully the orifice of the IIA, an oversized stentgraft was placed immediately at the common-to-external iliac artery (CIA-EIA) transition followed by peripheral ligation of the latter. The procedure was completed with crossover femorofemoral bypass.
Occlusion the IIA orifice with an oversized stentgraft in the CIA-EIA transition can be considered as a safe, simple, fast, and efficient bailout maneuver, followed by EIA ligation and crossover bypass.
介绍1例在狭窄主动脉腔内植入Ovation腹主动脉覆膜支架系统过程中因方向错误导致对侧肢体分支意外塌陷，并采用带覆膜支架封堵髂内动脉（IIA）开口，将其转换为主动脉单髂动脉改型的补救病例。
尽管经股动脉和肱动脉部位反复尝试，塌陷/闭塞的对侧肢体分支仍无法通过导管进入。为成功封堵IIA开口，在髂总动脉至髂外动脉（CIA-EIA）移行处立即置入一个尺寸过大的覆膜支架，随后对后者进行外周结扎。手术通过股-股交叉旁路术完成。
在CIA-EIA移行处用尺寸过大的覆膜支架封堵IIA开口可被视为一种安全、简单、快速且有效的补救措施，随后进行EIA结扎和交叉旁路术。
