PMC6180878_01
Reconstructed CT angiogram demonstrating the infrarenal abdominal aortic aneurysm and its angulated narrow neck.
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The presence of a 67-mm infrarenal AAA extending distally to the aortic bifurcation was confirmed on CT angiography (Figure 1).
Deployment of the infrarenal thoracic stent into the proximal neck of the abdominal aortic aneurysm.
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GORE & Associates); 25% oversizing to the aorta) was introduced through the right common femoral artery and deployed just below the level of the renal arteries under fluoroscopic guidance (Figure 2).
Stepwise deployment of a branched iliac device within the distal aspect of the conformable thoracic aortic graft thoracic endoprosthesis, followed by an extension into the left iliac artery. The Palmaz stent (Cordis, Bridgewater, NJ) within the two stentgrafts is also shown.
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A Palmaz stent (Cordis) was positioned overlapping the two endograft devices to enhance the radial forces at the infrarenal portion and prevent future migration (Figures 3 and 4).
Reconstructed CT angiography demonstrating satisfactory position of the modified stent graft with exclusion of the abdominal aortic aneurysm.
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A Palmaz stent (Cordis) was positioned overlapping the two endograft devices to enhance the radial forces at the infrarenal portion and prevent future migration (Figures 3 and 4). CT angiography at 1 and 6 months demonstrated good position of the infrarenal aortic endograft and exclusion of the aneurysm (Figure 4).