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The Endoconduit for Small Iliac Access 

The Endoconduit for Small Iliac Access
The Endoconduit for Small Iliac Access

Ripal T. Gandhi

, Jonathan J. Iglesias

, Constantino S. Peña

, and James F. Benenati

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date: 02 August 2021

Endoconduits are increasingly being utilized in patients with small iliac access who require introduction of large devices for endovascular aneurysm repair, thoracic endovascular aneurysm repair, and transcatheter aortic valve replacement. Many techniques exist to circumvent the challenges imposed by suboptimal iliac anatomy, the most common of which is placement of an open surgical conduit through a retroperitoneal exposure of the common iliac artery or distal aorta. Endoconduit placement avoids more aggressive surgical approaches and involves the placement of a covered stent across the diseased iliac segment from a femoral approach. Following deployment, the endoconduit is aggressively balloon-angioplastied. This creates a proximal and distal seal while rupturing the diseased iliac segment and allows passage of large-profile sheaths and devices. A stepwise approach to placement of an endoconduit is reviewed, and tips and tricks are presented.

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