Cutting balloon septotomy for repair of right common iliac artery aneurysm in the setting of type B aortic dissection

Angel Hsu; Michael S Segal; Cindy Sturt; Bruce Brener

doi:10.1016/j.jvscit.2024.101448

Cutting balloon septotomy for repair of right common iliac artery aneurysm in the setting of type B aortic dissection

J Vasc Surg Cases Innov Tech. 2024 Feb 10;10(3):101448. doi: 10.1016/j.jvscit.2024.101448. eCollection 2024 Jun.

Authors

Angel Hsu¹, Michael S Segal², Cindy Sturt², Bruce Brener²

Affiliations

¹ Department of General Surgery, Rutgers New Jersey Medical School, Newark, NJ.
² Department of Vascular Surgery, Newark Beth Israel Medical Center, Newark, NJ.

Abstract

We report a case of using cutting balloon septotomy for a 5-cm right common iliac artery aneurysm repair in a patient with a chronic type B aortic dissection after open repair 10 years before. This technique uses intravenous ultrasound to facilitate deployment of a cutting balloon to shear through the dissection flap, allowing for optimization of the landing zone for endovascular repair of a right common iliac artery aneurysm. Various methods are available for performing septotomy, and the use of a cutting balloon is one that helps with stent placement and position.

Keywords: Aortic dissection; Common iliac artery aneurysm; Cutting balloon septotomy; Intimal flap septostomy.