On-table modification of self-expanding covered stents for hybrid aortobifemoral revascularization

Abstract

Femoral endarterectomy with iliac stenting is a safe and effective minimally invasive alternative to aortobifemoral bypass. However, TransAtlantic Inter-Society Consensus D lesions with contiguous iliofemoral occlusion are challenging cases for hybrid repair. Herein, we present a unique approach for iliofemoral revascularization by on-table modification of self-expanding covered stents. Keywords: Aortoiliac occlusive disease, Endarterectomy, Covered stent, Hybrid vascular surgery