TECHNICAL NOTES   

The Journal of Cardiovascular Surgery 2013 June;54(3):383-7

Copyright © 2013 EDIZIONI MINERVA MEDICA

lingua: Inglese

Covered endovascular reconstruction of aortic bifurcation (CERAB) technique: a new approach in treating extensive aortoiliac occlusive disease

Goverde P. C. J. M. ¹, Grimme F. A. B. ², Verbruggen P. J. E. M. ¹, Reijnen M. M. P. J. ² ✉

¹ Department of Surgery, Vascular Clinic ZNA, Antwerp, Belgium; ² Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands

Endovascular treatment of occlusive disease of the aortic bifurcation is challenging. We developed the Covered Endovascular Reconstruction of Aortic Bifurcation or CERAB-technique, as a new approach for extensive and/or recurrent aortoiliac occlusive disease using three covered balloon expandable stents to reconstruct the aortic bifurcation. This configuration provides the ability to deal with TransAtlantic Inter-Society Consensus (TASC II) C and D lesions, simulating a neo-bifurcation or flow divider in combination with the benefits of covered stents. The intervention can be performed percutaneously or as a hybrid procedure. Initial results are encouraging and further studies are indicated.