Use of Iliac Branch Endoprosthesis for Aortic Bifurcation Reconstruction.

Iliac branch devices represent a significant improvement in the treatment of common iliac artery (CIA) and aortoiliac aneurysms. Some authors have already described novel and off-label approaches of these devices. We present a case of a 75-year-old man, who underwent 3 years before to emergent aorto-aortic reconstruction, in which we used the Gore Iliac Branch Endoprosthesis as main body because of length, angulation, and narrowing of infrarenal aorta and bifurcation to treat a bilateral CIA. This off-label application of a well-recognized endovascular device appeared safe and feasible.