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...
| 出版年: | Vascular Specialist International |
|---|---|
| 主要な著者: | , , , |
| フォーマット: | 論文 |
| 言語: | 英語 |
| 出版事項: |
Medrang
2025-06-01
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| 主題: | |
| オンライン･アクセス: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250034 |
| _version_ | 1849685846138028032 |
|---|---|
| author | Hyeonju Kim Deokbi Hwang Seung Huh Hyung-Kee Kim |
| author_facet | Hyeonju Kim Deokbi Hwang Seung Huh Hyung-Kee Kim |
| author_sort | Hyeonju Kim |
| collection | DOAJ |
| container_title | Vascular Specialist International |
| description | 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. |
| format | Article |
| id | doaj-art-0c0e0dca82fd47f4a24eac66ea3e8260 |
| institution | Directory of Open Access Journals |
| issn | 2288-7970 2288-7989 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Medrang |
| record_format | Article |
| spelling | doaj-art-0c0e0dca82fd47f4a24eac66ea3e82602025-08-20T02:10:28ZengMedrangVascular Specialist International2288-79702288-79892025-06-014110.5758/vsi.250034vsi.250034Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical LimitsHyeonju Kim0Deokbi Hwang1Seung Huh2Hyung-Kee Kim3Division of Vascular and Endovascular Surgery, Department of Surgery, Kyungpook National University Chilgok Hospital, Daegu, KoreaDivision of Vascular and Endovascular Surgery, Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, KoreaDivision of Vascular and Endovascular Surgery, Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, KoreaDivision of Vascular and Endovascular Surgery, Department of Surgery, Kyungpook National University Chilgok Hospital, Daegu, KoreaFor 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.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250034endovascular proceduresiliac artery aneurysmstent graftsdevice design |
| spellingShingle | Hyeonju Kim Deokbi Hwang Seung Huh Hyung-Kee Kim Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits endovascular procedures iliac artery aneurysm stent grafts device design |
| title | Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits |
| title_full | Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits |
| title_fullStr | Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits |
| title_full_unstemmed | Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits |
| title_short | Upside-Down Deployment of the Minos Iliac Limb as a Simple Off-the-Shelf Solution to Overcome Anatomical Limits |
| title_sort | upside down deployment of the minos iliac limb as a simple off the shelf solution to overcome anatomical limits |
| topic | endovascular procedures iliac artery aneurysm stent grafts device design |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250034 |
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