Video 1 (left): CT Aortogram demonstrating aneurysmal dilatation of the left common iliac artery about 2 cm distal to the aortic bifurcation, which involved the entire course of the left common iliac artery till just proximal to its bifurcation
Video 2 (right): Coronal CT demonstrating the tortuous vascular anatomy and the left common iliac artery aneurysm.
Video 3 Initial angiogram from proximal to the aortic bifurcation demonstrating common iliac artery aneurysms bilaterally as well as the vascular anatomy.
Video 4:: Selective left common iliac artery angiogram performed using a 4 F RDC catheter demonstrating the tortuous vascular anatomy and relations of the aneurysmal sac with the common, internal and external iliac arteries.
Video 5: Use of Microcatheter and microwire for negotiating the left common iliac artery into the left internal iliac artery for performing embolization of the internal iliac artery to prevent chances of endoleak.
Video 6: Check angiogram performed to confirm successful cannulation of the left internal iliac artery.
Video 7: Embolization of the left internal iliac artery using multiple coils.
Video 8: Angiogram obtained post coiling the left IIA showing successful embolization of the artery
Video 9: Angiogram obtained through the sizing pigtail catheter which was advanced through the left CFA access to demonstrate accurate length of the involved segment of the left CIA and to confirm appropriate dimensions of the stent graft to be used for EVAR as well as its accurate positioning. The angiogram also reveals successful coil embolization of the internal iliac artery. (Interestingly, note the delayed reconstitution of the internal iliac artery distally through collaterals with no evidence of retrograde flow).
Video 10: Deployment of the tapered stentgraft across the involved segment of the left CIA aneurysm after multiple check angiograms to confirm appropriate positioning.
Video 11: Use of CODA balloon to dilate and further expand the stent graft to minimize chances of retrograde flow into the sac and prevent endoleaks.
Video 12: Final angiogram performed after the deployment of the stent graft and dilatation of the stent graft with CODA balloon, showing successful exclusion of the aneurysm from the circulation with no evidence of endoleak.