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Eur J Vasc Endovasc Surg (2015) 49, 675

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Give it a Twist! Y. Georg, N. Chakfé

*

Department of Vascular Surgery and Kidney Transplantation, Les Hôpitaux Universitaires de Strasbourg, and University of Strasbourg, Strasbourg, France

A 75 year old man was treated for a 5.5 cm diameter abdominal aortic aneurysm involving both common iliac arteries, using a C3 Excluder and iliac branch (IBE) devices (WL Gore, Flagstaff, AZ, USA) on both sides, to preserve his pelvic perfusion. The procedure took 240 minutes and was uneventful except for the accidental anterior opening of the left IBE device, which did not prevent hypogastric artery cannulation. The post-operative CT control demonstrated this amazing picture with a complete winding of the iliac limbs. After 6 months the aneurysm was completely excluded and the branches remained patent without kinks or disconnection.

* Corresponding author. Department of Vascular Surgery, Les Hôpitaux Universitaires de Strasbourg, B.P. 426, 67091 Strasbourg Cedex, France. E-mail address: [email protected] (N. Chakfé). 1078-5884/Ó 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2015.03.025

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