Iliac branch device: A possible solution for the preservation of the inferior mesenteric artery in complex aortic endovascular procedure

A 76-year-old man was admitted with a bilateral iliac obstructive disease and an abdominal aortic aneurysm. The right internal iliac artery was patent as well as the inferior mesenteric artery (IMA) that measured 5 mm. Patient performed TEVAR one year before for a thoracic descending aorta aneurysm. He underwent an endovascular aneurysm repair with an inner abdominal branch device and an iliac branch device (IBD) was used to preserve IMA patency. The IBD may be an alternative endovascular device to save IMA in extensive aortic coverage in patients at high risk of spinal cord ischemia.