Endovascular bilateral evolutive common iliac artery aneurysm repair using a zenith branch graft through a combined femoro-brachial approach in a patient with previous EVAR.

Abstract

To report treatment of bilateral evolutive iliac artery aneurysms three years after EVAR. Three years following uncomplicated Zenith AAA stent-graft placement, the patient presented with aneurysmal common iliac arteries. Through a combined femoro-brachial approach, both iliac artery aneurysms were excluded, and a Zenith branch graft was placed to preserve the left hypogastric artery. The procedure was technically successful and free from complication. One year post-procedure, the Zenith branch graft remains stable. A combined femoro-brachial approach, with iliac branch graft placement, offered a solution to a challenging scenario.