Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits
For isolated internal iliac artery (IIA) aneurysms with tapered anatomy extending from the common iliac artery (CIA) to the external iliac artery (EIA), upside-down deployment of an iliac limb after IIA embolization is a practical alternative. However, conventional techniques for upside-down modific...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2025-06-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250034 |
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| Summary: | For isolated internal iliac artery (IIA) aneurysms with tapered anatomy extending from the common iliac artery (CIA) to the external iliac artery (EIA), upside-down deployment of an iliac limb after IIA embolization is a practical alternative. However, conventional techniques for upside-down modifications typically require external removal, inversion, and reinsertion of the stent-graft, which can be cumbersome and time-consuming. This study presents the first report of a simplified upside-down deployment technique that utilizes the Minos iliac limb. After cutting the nose cone, a 12 Fr Minos iliac limb was preloaded in reverse orientation into a 14 Fr sheath, without external manipulation or reloading. Following distal IIA embolization, the stent-graft was deployed by unsheathing to accommodate the tapered anatomy from the CIA to the EIA. This technique provides a streamlined, off-the-shelf solution for anatomically challenging iliac aneurysms and offers an effective alternative when standard deployment methods are not feasible. |
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| ISSN: | 2288-7970 2288-7989 |