Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts Robert M. Van Haren,

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Presentation transcript:

Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts Robert M. Van Haren, MD, MSPH, Lee J. Goldstein, MD, Omaida C. Velazquez, MD, Jagajan Karmacharya, MD, Arash Bornak, MD Journal of Vascular Surgery Volume 65, Issue 2, Pages 398-405 (February 2017) DOI: 10.1016/j.jvs.2016.08.084 Copyright © 2016 Terms and Conditions

Fig 1 a and b, Angiography demonstrating complete aortoiliac occlusion. Bilateral external and internal iliac arteries are patent. Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 2 Delivery of the endograft after predilation of the aortoiliac occlusion with sheath and dilator (a and b) and/or high-pressure balloons (c). Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 3 iCast (icast) stent deployment in the left CIA to create a landing zone for the endograft (E). Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 4 a, The endograft is first deployed (de), then (b) postdeployment dilatation with the (c) Coda balloon (C), which allows full endograft expansion. Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 5 a, Proximal aortic stenosis (ps) is still present. b and c, Proximal endograft (pe) extension for the treatment of residual aortic stenosis. Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 6 a and b, Distal extension beyond the left endograft limb (limb) with an iCast (iCast) stent for the treatment of the distal CIA stenosis. Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions

Fig 7 Completion angiography. Journal of Vascular Surgery 2017 65, 398-405DOI: (10.1016/j.jvs.2016.08.084) Copyright © 2016 Terms and Conditions