Fecha de la publicación: 24/01/2018
Autor: Carlota Fernandez Prendes (1), Carol Padrón Encalada (1), Ahmad Amer Zanabili Al-Sibbai (1), Jose Antonio Del Castro Madrazo (1), Lino Antonio Camblor Santervas (1), Manuel Alonso Perez (1)
1 Hospital Universitario Central de Asturias (H.U.C.A.), Oviedo, Spain.
Purpose: To describe the uses and advantages of hybrid vascular grafts (HVGs) for complex iliofemoral revascularization procedures.
Case report: We report 3 cases of iliofemoral occlusions repaired with the Gore HVG, used as an alternative technique to standardized common femoral artery (CFA) endarterectomy associated with iliac stenting or open repair. The indication in each of the 3 cases was different: In the first case, there was an absent CFA secondary to a mycotic pseudoaneurysm, in the second case, an iatrogenic lesion of the posterior wall of the CFA during the intervention was performed, and in the third case, the indication was because of thrombosis of a previous iliofemoral revascularization procedure.
Conclusion: Although we only present 3 cases, the Gore HVG can be useful for complex iliofemoral revascularizations, serving as an alternative to standardized CFA endarterectomy plus iliac stenting in cases where there is a damaged or absent CFA, especially in high-surgical risk patients.