Treatment of a traumatic aortic bifurcation injury with an iliac branch endoprosthesis

S Keisin Wang; Raghu L Motaganahalli; John G Maijub; Alan P Sawchuk

doi:10.1016/j.jvscit.2020.04.002

Treatment of a traumatic aortic bifurcation injury with an iliac branch endoprosthesis

J Vasc Surg Cases Innov Tech. 2020 Apr 23;6(3):317-319. doi: 10.1016/j.jvscit.2020.04.002. eCollection 2020 Sep.

Authors

S Keisin Wang¹, Raghu L Motaganahalli¹, John G Maijub¹, Alan P Sawchuk¹

Affiliation

¹ Division of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind.

Abstract

We present the case of a 62-year-old man who sustained a traumatic distal aortic injury associated with an adjacent lumbar vertebral body fracture resulting from a 20-ft fall. Given the site of injury, an iliac artery branched endograft was deployed off-label to preserve the aortic bifurcation and cover a limited amount of healthy aorta to preserve the collaterals. The procedure was successful, with no intraoperative complications or evidence of an endoleak. The aortic bifurcation and distal iliac arteries remained widely patent by computed tomography angiography at the follow-up examination without evidence of sequelae.

Keywords: Endovascular; Iliac branch endoprosthesis; Off-label; Stent; Trauma.

Publication types

Case Reports