2019 Volume 28 Issue 4 Pages 263-267
An 80-year-old man visited our hospital for the treatment of bilateral common iliac aneurysms. Endovascular aneurysm repair (EVAR) was selected. After embolization of the bilateral internal iliac arteries, proximal deployment of the Excluder main body and constraining dial was turned for the proximal side of the main body. The inflated balloon in the contralateral gate and main body were pulled down simultaneously to bail out the inferior mesenteric artery (IMA). Using this Excluder repositioning function enabled the main body to be implanted to preserve the IMA. The patient has achieved good progress without complications such as intestinal bowel necrosis.