Karaolanis Georgios I, Geppert Corinne, Kotopoulos Konstantinos, Kotelis Drosos, Makaloski Vladimir
Department of Vascular Surgery, Inselspital, University Hospital, University of Bern, 3010 Bern, Switzerland; Vascular Unit, Department of Surgery, University Hospital of Ioannina and School of Medicine, Ioannina, Greece.
Department of Vascular Surgery, Inselspital, University Hospital, University of Bern, 3010 Bern, Switzerland.
Int J Surg Case Rep. 2025 Feb;127:110790. doi: 10.1016/j.ijscr.2024.110790. Epub 2025 Jan 1.
Internal iliac artery aneurysms repair represents a life-threatening condition due to their anatomical position and the risk of rupture. Iliac branch devices are strongly recommended for anatomically suitable patients, but limited alternatives exist when their use is unsuitable. The use of custom-made fenestrated endografts is well documented in other aortic territories, however, their application for the treatment of internal iliac artery aneurysm remains limited.
In this innovative technique case report, we demonstrate the use of a custom-made fenestrated Anaconda™ leg extension for treating an internal iliac artery aneurysm. In the present report, we describe this technique in a patient unfit for open repair and no suitable for iliac branch device (IBD) treatment.
Iliac branch devices have been designed for the treatment of iliac artery aneurysms and are associated with high technical success rates and low patient morbidity. However, their use is unsuitable for certain anatomies, and alternative therapeutic options are sparsely reported in the literature. Custom-made devices represent a feasible treatment option for aortic aneurysm repair, but despite their success in other settings, their role in treating internal iliac artery aneurysms remains poorly defined.
Custom made iliac fenestrated devices may be a valuable treatment option for patients not eligible for IBD devices.
由于髂内动脉瘤的解剖位置及其破裂风险，其修复手术是一种危及生命的情况。对于解剖结构合适的患者，强烈推荐使用髂支装置，但在其不适用时，可供选择的方案有限。定制开窗型腔内移植物在其他主动脉区域的应用已有充分文献记载，然而，其在髂内动脉瘤治疗中的应用仍然有限。
在本创新技术病例报告中，我们展示了使用定制的开窗型Anaconda™腿延长装置治疗髂内动脉瘤。在本报告中，我们描述了在一名不适合开放修复且不适合髂支装置（IBD）治疗的患者中应用该技术的情况。
髂支装置已被设计用于治疗髂动脉瘤，技术成功率高且患者发病率低。然而，它们在某些解剖结构中并不适用，而且文献中关于替代治疗选择的报道很少。定制装置是主动脉瘤修复的一种可行治疗选择，但尽管它们在其他情况下取得了成功，其在治疗髂内动脉瘤中的作用仍不明确。
定制的髂开窗装置可能是不适用于IBD装置的患者的一种有价值的治疗选择。
