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Using a Surgeon-modified Iliac Branch Device to Preserve the Internal Iliac artery during Endovascular aneurysm Repair： Single-center Experiences and Early Results

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Chinese Medical Journal 2015年第5期128卷 674-679页

作者： Wei-Wei Wu Chen Lin Bao Liu Chang-Wei Liu Department of VascuLar Surgery Beijing Tsinghua Changgung Hospital Medical Center lsinghua University Beijing 102218 China Department of Vascular Surgery Peking Union Medical College Hospital Chinese Academy of Medical Science Beijing 100730 China

Background：To evaluate the feasibility of a new surgeon-modified iliac branch device （IBD） technique to maintain pelvic perfusion in the management of common iliac artery （CIA） aneurysm during endovascular aneurysm repair （EVAR）.Methods：From January 2011 to December 2013,a new surgeon-modified IBD technique was performed in department of vascular surgery of Peking Union Medical College Hospital in five patients treated for CIA aneurysm with or without abdominal aortic aneurysm.A stent-graft limb was initially deployed in vitro,anastomosed with vascular graft,creating a modified IBD reloaded into a larger sheath,with or without a guidewire preloaded into the side *** reloaded IBD was then placed in the iliac artery,with a covered stent bridging internal iliac artery and the ***,a bifurcated stent-graft was deployed,and a limb device was used to connect the main body and ***：Technical successes were obtained in all *** mean follow-up length was 24 months （range：6-38 months）.All grafts remained patent without any sign of *** were no aneurysm ruptures,deaths,or other complications related to pelvic ***：Using the surgeon-modified IBD to preserve pelvic flow is a feasible endovascular technique and an appealing solution for personalized treatment of CIA aneurysm during EVAR.

关键词： Abdominal Aortic aneurysm common lliac artery aneurysm Endovascular Repair Internal lliac artery Modified Iliac Branch Device

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