This new device helps to treat aortic aneurysms with common iliac artery
Aortoiliac EVAR is necessary if the common iliac artery
origin is aneurysmal.
In our patient, there was involvement of the abdominal aorta extending from below the level of the renal arteries down to the aortic bifurcation and proximal right common iliac artery
giving the classic appearance of a "coated aorta" .
The patient mass was located retroperitoneally at the conjoined with right and left common iliac artery
and vein and attached to the L5-S1 vertebrae by posterior capsule.
The 20-30% stenosis of the right common iliac artery
was not treated prior to the bypass.
Following this, the ureter was dissected caudally to the level of crossing of the common iliac artery
The kidney development starts in the pelvic cavity with the kidneys ventrally near to the sacrum, supplied by the common iliac artery
, and then it moves to the lumbar region around the ninth week, where it will be supplied by the abdominal aorta (MOORE; PERSUAD, 2008; NAYAK, 2008a and b; VILHOVA et al.
Aorta-femoro-popliteal arteriography showed a filling defect in the right common iliac artery
Iodine-containing radiopaque media of 270-300 mOsmol was administered via the distal abdominal aorta using a pigtail catheter or via the right or left common iliac arteries selectively by using the right coronary artery catheter to examine the right-left common iliac artery
, iliac externa, iliac interna, main femoral, superficial femoral, deep femoral, popliteal, tibioperoneal truncus, anterior tibial, and posterior tibial arteries, and up to the distal peroneal artery.
62,63) Esmarch's bandage, Dupuytren's compressor, and other devices worked in a similar manner by compression of the skin and underlying tissues to indirectly compress large vessels like the common iliac artery
Proximal control was gained above the infrarenal abdominal aortic aneurysm and repair of both was undertaken with bifurcated Dacron graft, anastomosed onto the left common iliac artery
and the right external iliac artery, as the origin of the right common iliac artery
was also aneurysmal.
The ureter crosses the pelvic brim close to the bifurcation of the common iliac artery
, at which point it becomes the pelvic ureter.