Table 2.
Indications for the sandwich technique, anatomic details, devices used and clinical course
| Patient No. | Indication for ST | ØAo (mm) | ØCIA (R/L) (mm) | ØEIA (R/L) (mm) | ØIIA (R/L) (mm) | EVAR stent-graft | Procedure for contralateral limb | Remarks |
|---|---|---|---|---|---|---|---|---|
| 1 | CIAA+IIAA | 64 | 48/25 | 10/11 | 22/18 | Gore (Excluder) | Coil embo, EIA extensiona | Persistent endoleak (IIb) treated by coil embolization of lumbar artery |
| 2 | CIAA+IIAA | 34 | 31/26 | 9/9 | 7/32 | Cook (Zenith) | IBD | |
| 3 | CIAA+IIAA | 64 | 47/19 | 11/11 | 26/43 | Cook (Zenith) | IBD | IIA stentgraft occlusion |
| 4 | CIAA | 53 | 35/23 | 10/11 | 7/8 | Gore (Excluder) | Limb stentb | Endoleak (IIa) |
| 5 | CIAA | 46 | 35/27 | 10/9 | 10/8 | Cook (Zenith) | Coil embo, EIA extensiona | EIA stent-graft occlusion treated by reinterventionc |
| 6 | Short CIA | 53 | 10/10 (length 25/18) | 9/9 | 6/7 | Cook (Zenith) | Limb stentb | |
| 7 | Short CIA | 51 | 20/18 (length 18/18) | 11/12 | 7/6 | Cook (Zenith) | Limb stentb | |
| 8 | Unilateral CIA | 54 | x/12 | x/7 | x/8 | Medtronic (Endurant) |
ST, sandwich technique; Ø, diameter; Ao, aorta; CIA, common iliac artery; EIA, external iliac artery; IIA, internal iliac artery; EVAR, endovascular aneurysm repair; R/L, right/left; CIAA, CIA aneurysms; IIAA, IIA aneurysm; Gore, W. L. Gore & Associates; Cook, Cook Inc.; embo, embolization; IBD, iliac branch device.
a
Coil embolization in IIA and stent-graft extension into the external iliac artery;
b
CIA limb stent placement above iliac bifurcation;
c
Aspiration thrombectomy plus urokinase thrombolysis plus ballooning and stenting.