Bozzani Antonio, Arici Vittorio, Rossi Mauro, Borri Brunetto Massimo, Ticozzelli Giulia, Spialtini Chiara, Corbetta Riccardo, Ragni Franco
Vascular Surgery Unit, Foundation I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
Vascular Surgery Unit, Foundation I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
Ann Vasc Surg. 2019 Nov;61:470.e5-470.e8. doi: 10.1016/j.avsg.2019.05.040. Epub 2019 Aug 5.
Iliac branch devices represent a significant improvement in the treatment of common iliac artery (CIA) and aortoiliac aneurysms. Some authors have already described novel and off-label approaches of these devices. We present a case of a 75-year-old man, who underwent 3 years before to emergent aorto-aortic reconstruction, in which we used the Gore Iliac Branch Endoprosthesis as main body because of length, angulation, and narrowing of infrarenal aorta and bifurcation to treat a bilateral CIA. This off-label application of a well-recognized endovascular device appeared safe and feasible.
髂支装置在治疗髂总动脉（CIA）和主-髂动脉瘤方面代表了一项重大进展。一些作者已经描述了这些装置的新颖且未获批准的应用方法。我们报告一例75岁男性病例，该患者3年前接受了急诊主动脉-主动脉重建术，由于肾下腹主动脉及分叉处的长度、成角和狭窄，我们使用戈尔髂支血管内修复装置作为主体来治疗双侧CIA。这种已获广泛认可的血管内装置的未获批准应用似乎是安全可行的。
