An Alternative to Aorto-uni-iliac EVAR and Femoro-femoral Crossover in a Patient Having an Aorto-iliac Aneurysm with an Occluded External Iliac Artery

IntroductionAn endovascular procedure for excluding an aorto-iliac aneurysm whilst simultaneously preserving one internal iliac artery is described in a patient with complex iliac pathology.ReportThe procedure involved the use of Advanta V12 covered stents to bridge the gap between the contralateral limb of the main body of a custom-made Zenith stent graft and the internal iliac artery on the side of an external iliac artery occlusion.DiscussionMinimal modifications to the standard design of modular stent grafts make it possible to treat high risk patient with complex pathology with minimal morbidity