Brahmandam Anand, Guzman Raul J, Nassiri Naiem
Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CT.
J Vasc Surg Cases Innov Tech. 2023 Feb 21;9(2):101131. doi: 10.1016/j.jvscit.2023.101131. eCollection 2023 Jun.
The commercial availability of the iliac branch endoprosthesis (IBE) has permitted endovascular repair of iliac artery aneurysms with the preservation of pelvic circulation. However, the device instructions for use require certain anatomic criteria that can limit deployment in ≤30% of patients. Moreover, branched endovascular treatment of common iliac artery aneurysms with IBE in patients with connective tissue disorders such as Loeys-Dietz syndrome has not been described. In the present report, we have described our technique of alternative endograft aortoiliac reconstruction to overcome anatomic barriers to IBE placement in a patient with a giant common iliac artery aneurysm in the setting of a rare pathogenic variant in the gene.
髂支血管内修复装置（IBE）的商业可用性使得髂动脉瘤能够通过血管内修复得以保留盆腔循环。然而，该装置的使用说明书要求特定的解剖学标准，这可能会限制在≤30%的患者中进行部署。此外，尚未有关于在患有诸如洛伊迪茨综合征等结缔组织疾病的患者中使用IBE对髂总动脉瘤进行分支血管内治疗的描述。在本报告中，我们描述了我们的替代性主动脉髂动脉移植物重建技术，以克服在一名患有罕见致病基因变异的巨大髂总动脉瘤患者中放置IBE时的解剖学障碍。
