Iliac artery tortuosity can be a limiting factor in treating abdominal aortic aneurysms by endovascular means. In this case, a 6F catheter guiding sheath was used to allow tracking of the superstiff wire to straighten the iliac artery on the left. This allowed for tracking of the larger sheath so that a bifurcated device could be completed. This technique may be useful in dealing with extreme iliac tortuosity if one is unable to advance the superstiff wire.
Henretta JP, Karch LA, Hodgson KJ, et al. Special iliac artery considerations during aneurysm endografting . Am J Surg. 1999; 178(3):212-218.
2.
Chuter TA, Reilly LM, Kerlan RK, et al. Endovascular repair of abdominal aortic aneurysm: getting out of trouble. Cardiovasc Surg. 1998;6(3):232-239.
3.
Lee AM, Rockman CB, Riles TS, Rosen RJ, Lamparello PJ, Landis R.Report of a single-institution experience using the EVT endovascular abdominal aortic aneurysm graft in 25 patients. Ann Vasc Surg. 1999;13(1):60-66.
4.
Tillich M., Bell RE, Paik DS, et al. Iliac arterial injuries after endovascular repair of abdominal aortic aneurysms: correlation with iliac curvature and diameter. Radiology. 2001;219(1):129-136.
5.
Wolf YG, Tillich M., Lee WA, Rubin GD, Fogarty TJ, Zarins CKImpact of aortoiliac tortuosity on endovascular repair of abdominal aortic aneurysms: evaluation of 3D computer based assessment. J Vasc Surg. 2001;34(4):594-599.
6.
Blum U., Voshage G., Lammer J., et al. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms . N Engl J Med. 1997; 336(1):13-20.
7.
Miahle C., Amicabile C., Becquemin JPEndovascular treatment of infrarenal abdominal aneurysms by the Stentor system: preliminary results of 79 cases. J Vasc Surg. 1997;26(2):199-209.
8.
Stelter W., Bumscheid T., Ziegler P.Three-year experience with modular stent-graft devices for endovascular AAA treatment. J Endovasc Surg. 1997;4(4):362-369.
9.
May J., White GH, Yu W., et al. Concurrent comparison of endoluminal versus open repair in the treatment of abdominal aortic aneurysms: analysis of 303 patients by life table method. J Vasc Surg. 1998;27(2):213-221.
