Complex endovascular reconstruction of terminal abdominal aorta for occlusive and stenotic lesions

Zatevakhin I.I.; Frantsevich A.M.; Shipovsky V.N.; Mustafin A.Kh.

doi:https://doi.org/10.17116/hirurgia2025111115

Zatevakhin I.I.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0000-0001-6847-1421

Frantsevich A.M.

Pletnev Moscow City Clinical Hospital

ORCID: 0000-0002-0800-6592

Shipovsky V.N.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0000-0001-6353-0592

Mustafin A.Kh.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0009-0008-6162-0111

Complex endovascular reconstruction of terminal abdominal aorta for occlusive and stenotic lesions

Authors:

Zatevakhin I.I., Frantsevich A.M., Shipovsky V.N., Mustafin A.Kh.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11): 115‑120

DOI: 10.17116/hirurgia2025111115

Read: 374 times

Contact the author

Table of contents

To cite this article:

Zatevakhin II, Frantsevich AM, Shipovsky VN, Mustafin AKh. Complex endovascular reconstruction of terminal abdominal aorta for occlusive and stenotic lesions. Pirogov Russian Journal of Surgery. 2025;(11):115‑120. (In Russ.)
https://doi.org/10.17116/hirurgia2025111115

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Abstract:

The authors present 2 cases of complex endovascular reconstruction of abdominal aortic bifurcation with good immediate and mid-term results. These examples demonstrate new possibilities in endovascular treatment of occlusive stenotic lesions of terminal abdominal aorta involving common iliac arteries.

Keywords:

terminal abdominal aorta

complex endovascular reconstruction of abdominal aortic bifurcation (CERAB)

occlusive stenotic lesion of terminal aorta

Authors:

Zatevakhin I.I.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0000-0001-6847-1421

Frantsevich A.M.

Pletnev Moscow City Clinical Hospital

ORCID: 0000-0002-0800-6592

Shipovsky V.N.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0000-0001-6353-0592

Mustafin A.Kh.

Pletnev Moscow City Clinical Hospital;
Pirogov Russian National Research Medical University

ORCID: 0009-0008-6162-0111

Received:

12.12.2024

Accepted:

20.01.2025

Close metadata

References:

Volodos’ NL, Shekhanin VE, Karpovich IP, Troian VI, Gur’ev IA. A self-fixing synthetic blood vessel endoprosthesis. Bulletin of Surgery named after I.I. Grekov. 1986;137:123-125. (In Russ.).
Bokeria LA, Pokrovsky AV. National guidelines for the diagnosis and treatment of diseases of the arteries of the lower extremities. Russian consensus document. Moscow, 2019. (In Russ.).
Fowkes FG, Aboyans V, Fowkes FJ. Peripheral artery disease: epidemiology and global perspectives. Nat Rev Cardiol. 2017;14:156-170.
Alekyan BG, Tsygankov VN, Frantsevich AM, Kharazov AF. Endovascular reconstruction in case of occlusion of the infrarenal aorta in a patient with Leriche syndrome. Endovascular Surgery. 2016;3(4):40-45. (In Russ.).
Aboyans V, Ricco JB, Bartelink ML. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018;39:763-816.
Bredahl K, Jensen LP, Schroeder TV, Sillesen H, Nielsen H, Eiberg JP. Mortality and complications after aortic bifurcated bypass procedures for chronic aortoiliac occlusive disease. J Vase Surg. 2015;62(1):75-82.
Dorigo W, Piffaretti G, Benedetto F, Tarallo A, Castelli P, Spinelli F. A comparison between aortobifemoral bypass and aortoiliac kissing stents in patients with complex aortoiliac obstructive disease. J Vase Surg. 2017;65(1):99-107.
Indes JE, Mandawat A, Tuggle CT, Muhs B, Sosa JA. Endovascular procedures for aorto-iliac occlusive disease are associated with superior short-term clinical and economic outcomes compared with open surgery in the inpatient population. J Vasc Surg. 2010;52(5):1173-1179.
Kashyap VS, Pavkov ML, Bena JF, Sarac TP, O’hara PJ, Lyden SP. The management of severe aortoiliac occlusive disease: endovascular therapy rivals open reconstruction. J Vasc Surg. 2008;48(6):1451-1457.e3.
Al-Hakim R, Lee E, Kee S, Seals K, Varghese B, Chien A. Hemodynamic analysis of edge stenosis in peripheral artery stent grafts. Diagn Intervent Imag. 2017;98:729-735.
Goverde PC, Grimme FA, Verbruggen PJ, Reijnen MM. Covered endovascular reconstruction of aortic bifurcation (CERAB) technique: a new approach in treating extensive aortoiliac occlusive disease. J Cardiovasc Surg (Torino). 2013;54(3):383-387.
Greiner A, Muhlthaler H, Neuhauser B, Waldenberger P, Dessl A, Schocke MFH. Does stent overlap influence the patency rate of aortoiliac kissing stents? J Endovasc Ther. 2005;12(6):696-703.
Grimme F, Goverde P, Verbruggen P, Zeebregts C, Reijnen M. Editor’s Choice-First Results of the Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Technique for Aortoiliac Occlusive Disease. Eur J Vas Endovasc. 2015;50(5):638-647.
Groot Jebbink E, Grimme FA, Goverde PC, van Oostayen JA, Slump CH, Reijnen MM. Geometrical consequences of kissing stents and the Covered Endovascular Reconstruction of the Aortic Bifurcation configuration in an in vitro model for endovascular reconstruction of aortic bifurcation. J Vasc Surg. 2015;61(5):1306-1311.
Groot Jebbink E, Holevwijn S, Cornelis H, Lardenoijc J-W, Michel M. Systematic review of results of kissing stents in the treatment of aortoiliac occlusive disease. Ann Vasc Surg. 2017;42:328-336.
Groot Jebbink E, Mathai V, Boersen JT, Sun C, Slump CH, Goverde PC. Hcmodynamic comparison of stent configurations used for aortoiliac occlusive disease. J Vasc Surg. 2016.
Haulon S, Mounier-Vehier C, Gaxotte V, Koussa M, Lions C, Haouari BA. Percutaneous reconstruction of the aortoiliac bifurcation with the «kissing stents» technique: Long-term follow-up in 106 patients. J Endovasc Ther. 2002;9(3):363-368.
Houston JG, Bhat R, Ross R, Stonebridge PA. Long-term results after placement of aortic bifurcation self-expanding stents: 10 Year mortality, stent restenosis, and distal disease progression. Cardiovasc Inter Rad. 2007;30(1):42-47.
Maldonado TS, Westin GG, Jazaeri O, Mewissen M, Reijnen M, Dwivedi AJ. Treatment of Aortoiliac Occlusive Disease with the Endologix AFX Unibody Endograft. Eur J Vasc Endovasc. 2017;52(1):64-74.
Michael S, Andrew W Bradbury, Philippe Kolh. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia. Eur J Vasc Endovasc Surg. 2019;1-101:e33.
Mwipatayi BP, Shanna S, Daneshmand A, Thomas SD, Vijayan V, Altaf N. Durability of the balloon-expandable covered versus bare-metal stents in the Covered versus Balloon Expandable Stent Trial (COBEST) for the treatment of aortoiliac occlusive disease. J Vasc Surg. 2016;64(1):83-94.