Work

Iliac branch device for infrarenal aortic dissection: A novel off-label strategy

Year: 2026

Type: article

Abstract: Infrarenal aortic dissection is a rare condition, and the presence of a triple lumen has been described as a marker of instability and poor prognosis. We report the case of a 56-year-old woman with infrarenal dissection and triple lumen who presented with refractory abdominal pain. Owing to hostile anatomy, conventional endografts were unsuitable. An iliac branch device was used off-label as the main body, achieving complete reconstruction and preservation of bilateral iliac flow. This case expands previous off-label applications of iliac branch devices, demonstrating feasibility in infrarenal dissection beyond aneurysmal or occlusive disease.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102258

Authors: Diego Ardiles, Jeison Peñuela, Marcelo Lagos, Sebastián Alba, Manuel Espíndola

Institutions: Clínica Las Condes, Hospital San Juan de Dios, Hospital Dipreca

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250