Successful Endovascular Aneurysm Repair Using a Balloon-Expandable Stent Graft Bridging the Endograft Limb and a Small External Iliac Artery.

Authors

Yusuke Fujioka, Koichi Morisaki, Kentaro Inoue, Daichi Ito, Mitsuru Nakanishi, Kohei Ueno, Go Kinoshita, Shinichiro Yoshino, Tomoharu Yoshizumi

Published in

Surgical case reports. Volume 12. Issue 1. Epub Jun 26, 2026.

Abstract

Oversizing of a stent graft limb is one of the risk factors for limb graft occlusion after endovascular aneurysm repair (EVAR) for abdominal aortic and iliac artery aneurysms. We report a case of common iliac artery (CIA) aneurysm with a shrunken external iliac artery (EIA) treated with a Gore C3 Excluder (W. L. Gore & Associates, Flagstaff, AZ, USA) and VBX (W. L. Gore & Associates).
A 76-year-old man was incidentally diagnosed with a right CIA aneurysm (diameter = 55 mm) on CT examination. He had a history of spinal cord injury at the age of 33 years, which paralyzed the lower part of his body. Owing to disuse atrophy, his right EIA became smaller with a diameter of 5 mm. The patient was treated with a Gore Excluder C3, and to prevent oversizing of the distal landing zone, a 6-mm VBX was used as the right stent graft limb. The postoperative course was uneventful, and 1 year after EVAR, the stent graft limb was patent.
This case report describes successful endovascular treatment using Excluder C3 and VBX for CIA aneurysm with a shrunken EIA. In the case of a small-caliber EIA, the use of VBX may help avoid oversizing of the stent graft limb, which may prevent stent graft limb occlusion.

PMID:
42376489
Bibliographic data and abstract were imported from PubMed on 30 Jun 2026.

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