Aortoiliac aneurysms: management with endovascular stent-graft placement.

Abstract

Endovascular treatment of aortoiliac aneurysms with stent-graft devices may be an alternative to surgery.

Access Sites to Vascular System for Endovascular Abdominal Aortic Aneurysms Repair

“…Iliac artery diameters below 7 mm are associated with an increased incidence of complications 27 . Unfortunately, iliac artery rupture diagnosis is mostly imposssible before the introducing system withdrawal, and subsequent endovascular solution using stentgraft insertion is problematic 28 . Surgical repair with prosthesis interposition therefore seems to be the best option, as it was in our two cases of EIA trauma.…”

Transcatheter therapy of long extreme subatretic aortic coarctations with covered stents. A logical solution for an extreme situation: The stress of pressure and fatigue—A problem for the cardiologist or for the stent?

“…Self expandable covered stents have been used by radiologists and cardiologists to treat aneurysmal atherosclerotic disease for many years [3]. In the realm of congenital heart disease balloon expandable covered stents have found their metier in aneurysm exclusion in the pulmonary arteries and aorta [4] and on occasions to relieve obstruction and treat unwanted aortopulmonary communications simultaneously [5].…”

Endovascular Aneurysm Repair

“…Medium-term results have been encouraging in cases fit for this treatment, [2][3][4][5][6][7][8][9][10][11][12][13][14] and complication rates have been moderate by comparison with standard surgery. 7,[15][16][17][18][19][20][21][22][23][24][25][26] Effective endovascular treatment results in a significant pressure reduction 27 and a shrinkage of the excluded aneurysm. It is proposed that aneurysm exclusion and aneurysm shrinkage are accompanied by histological connective tissue organization, 28 -33 but data on the progression of these processes are only inconclusive and in part contradictory.…”