Calicchio Ilaria, Rinaldi Antonia, Cantile Nicola, Vollono Michele, Del Guercio Luca, Bracale Umberto Marcello, Turchino Davide
Vascular Surgery Unit, Department of Public Health, University Federico II of Naples, 80138 Naples, Italy.
Ann Ital Chir. 2025;96(5):572-578. doi: 10.62713/aic.3784.
Endovascular repair of aneurysmal pathology in the aorto-iliac district presents one of the significant challenges in contemporary vascular surgery. Advances in techniques, materials, and devices have enhanced the ability of vascular surgeons in endovascular procedures, leading to the management of increasingly complex cases, with applications sometimes extending beyond the Instructions for Use (IFUs) of specific devices. In our case report, we describe the successful endovascular retrieval of a disconnected tip from an iliac branch device (IBD), preventing conversion to open surgery in a 73-year-old patient with a complex aortoiliac aneurysm. The case highlights the importance of exercising caution when treating patients with complex anatomy not in conformance with a device's IFU, even in high-volume centers with extensive endovascular expertise.
腹主动脉-髂动脉区动脉瘤性病变的血管腔内修复是当代血管外科面临的重大挑战之一。技术、材料和器械的进步提高了血管外科医生进行血管腔内手术的能力，使得越来越复杂的病例得以处理，有时应用范围超出了特定器械的使用说明书（IFU）。在我们的病例报告中，我们描述了成功通过血管腔内方法从髂支器械（IBD）取出断开的尖端，从而避免了一名患有复杂腹主动脉-髂动脉瘤的73岁患者转为开放手术。该病例强调，即使在具有广泛血管腔内专业知识的高容量中心，在治疗解剖结构复杂且不符合器械IFU的患者时也必须谨慎行事。
