The endovascular management of iliac artery aneurysms.
Cardiovasc Intervent Radiol
; 30(6): 1099-104, 2007.
Article
en En
| MEDLINE
| ID: mdl-17687603
ABSTRACT
BACKGROUND:
Isolated aneurysms of the iliac arteries are uncommon. Previously treated by conventional surgery, there is increasing use of endografts to treat these lesions.PURPOSE:
The purpose of this study was to assess the efficacy, safety, and durability of the stent-grafts for treatment of iliac artery aneurysms (IAAs). The results of endografting for isolated IAAs over a 10-year period were analyzed retrospectively. The treatment methods differed depending on the anatomic location of the aneurysms. Twenty-one patients (1 woman, 20 men) underwent endovascular stent-graft repair, with one procedure carried out under emergency conditions after acute rupture. The mean aneurysm diameter was 4.6 cm.RESULTS:
The procedural technical success was 100%. There was zero 30-day mortality. Follow-up was by interval CT scans. At a mean follow-up of 51.2 months, the stent-graft patency rate was 100%. Reintervention was performed in four patients (19%) one patient (4.7%) with a type I endoleak and three patients (14.3%) with type II endoleaks.CONCLUSION:
We conclude that endovascular repair of isolated IAAs is a safe, minimally invasive technique with low morbidity rates. Follow-up results up to 10 years suggest that this approach is durable and should be regarded as a first treatment option for appropriate candidates.
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Banco de datos:
MEDLINE
Asunto principal:
Stents
/
Aneurisma Ilíaco
/
Implantación de Prótesis Vascular
/
Arteria Ilíaca
Tipo de estudio:
Observational_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Año:
2007
Tipo del documento:
Article
País de afiliación:
Reino Unido