Challenging Bilateral Iliac Occlusions

Mr. Hany Zayed MD, MSc, FRCS

Consultant Vascular Surgeon

Guy’s and St. Thomas’ NHS Foundation Trust

Disclosure

Speaker name:

.................................................................................

I have the following potential conflicts of interest to report:

Consulting

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

✓ Other(s)

I do not have any potential conflict of interest

• 74 Yrs

• Cardiovascular Risk Factors:

IHD, Coronary stenting

Pacemaker

HTN

Hyperchol.

• Life-limiting Intermittent Claudication:

Sole carer of Wheelchair-bound wife.

• Best medical treatment

• Completed SET

Revascularisation Plan

• Right Femoral endarterectomy + Access

• Left Brachial Percutaneous Access:

Imaging

Antegrade recanalisation if Retrograde approach fails

• Left Femoral Percutaneous Access

Which Covered-Stent to use ?

Conclusion

• VBX is a useful addition to the endovascular armamentarium.

• Potential solution to challenging Aorto-Iliac occlusive disease.

Thank You

Challenging Bilateral Iliac Occlusions

Mr. Hany Zayed MD, MSc, FRCS

Consultant Vascular Surgeon

Guy’s and St. Thomas’ NHS Foundation Trust