2019 Volume 28 Issue 2 Pages 121-125
Endovascular repair of abdominal aortic aneurysm (AAA) have been accepted widely as a less invasive treatment, but with a potentiality of a development of endoleaks, which can be a cause of AAA rupture after the treatment. We describe endovascular repair combined with Upside-down technique to treat common iliac artery aneurysm. A 76-year-old man was referred because of a 40 mm left common iliac artery aneurysm. His weight was 111 kg, more than average fatness, this case was delicate to performed an open surgery. Because of that, we selected endovascular surgery. The diameter of the proximal sealing zone was 16 mm, larger than that of the distal sealing zone, 14 mm. A reversed taper device was needed. We used the Gore Excluder contralateral leg endoprosthesis in a reversed (the Upside-down technique). Further, the coil embolization of the left internal iliac artery was carried out to prevent type 2 endoleaks, before endovascular repair of common iliac artery aneurysm. The aneurysm was totally excluded postoperatively without endoleaks.
