Use of the Outback re-entry device for occluded abdominal aortic aneurysms with bilateral common iliac artery aneurysms

Abstract

Background: Extensive juxtarenal aortoiliac occlusion (JRO) is difficult to treat and has severe outcomes. However, recent treatments have involved endovascular approaches. We encountered a rare case of successful occlusion penetration using the Outback Elite Re-entry Catheter (Cordis, Miami, FL, USA). Case presentation: A 75-year-old man was referred to our department for treatment of an enlarged aneurysm. The patient presented with intermittent claudication and underwent computed tomography, which revealed thoracic aortic, abdominal aortic (AAA), bilateral common iliac artery (CIAA), and right external iliac artery (EIAA) aneurysms of 51.8, 47.4, 71.5/31.9 (right/left), and 26.3 mm in diameter, respectively. The AAA, bilateral CIAA, and right EIAA were extensively occluded and treated with a re-entry device (outback® Elite Re-entry Catheter). The patient's symptoms improved significantly, and he was discharged with no serious complications. Conclusion: The Outback Elite Re-entry Catheter may be a promising endovascular treatment option for patients with extensive JRO.

Keywords

• Re-entry catheter
• Aortoiliac aneurysm
• Occlusion
• Subintimal recanalization
• Aortoiliac occlusive disease