Total endovascular repair of a common femoral artery aneurysm with a bifurcated endograft through a single ipsilateral approach.

Aneurysms of the common femoral and profunda femoris arteries are rare. Open surgical repair is the treatment of choice, even though hybrid and total endovascular repair with stent graft placement are reported in the literature. We describe a case of a successful total endovascular repair of a common femoral aneurysm extending to the profunda femoris with a bifurcated abdominal endograft placed in the common femoral artery with distal landing in profunda femoris and superficial femoral artery to preserve flow in both arteries.

Predictors of type IIIa endoleak after endovascular aortic repair with anatomic fixation endografts.

Objective: Concern regarding the use of anatomic fixation endografts was raised, as previous data suggested increased risk of late device uncoupling and type IIIa endoleak (EL) in this setting. Some risk factors have been identified as predictors of graft failure. We aim to determine if increase in aortic tortuosity index (TI) over the time is associated with an increased risk of type IIIa EL.