Bilateral GORE Iliac Branch Endoprosthesis with prior open abdominal aortic aneurysm repair

Png, C.Y. Maximilian; Cornwall, James W.; Faries, Peter L.; Marin, Michael L.; Tadros, Rami O.

doi:10.1016/j.jvscit.2018.08.004

Cited by 7 publications

(6 citation statements)

References 18 publications

(21 reference statements)

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“…Additional remarkable treatment modalities and techniques which may be found in case reports or small case series are: retrograde trans-gluteal approach for embolization 24 -26 parallel stent-graft technique for IIIAA exclusion 27,28 deployment of an iliac branch device to exclude the hypogastric aneurysm 29 -32 endovascular exclusion exploiting the distal branches of the hypogastric artery as landing zones 33 …”

Section: Resultsmentioning

confidence: 99%

“…11 In selected cases, the proximal neck may be obtained by using an iliac branch device (IBD) or a parallel graft technique. [27][28][29][30][31] Regarding the distal neck, it is sometimes possible to use the distal branches of the hypogastric artery as a landing zone, thus sacrificing only minor branches with good results. 12,33 No IBD were used by authors of the papers included in this review.…”

Section: Discussionmentioning

confidence: 99%

“…This new and innovative technique has been described only in some case reports that were excluded from the study. 29,30,31,33 Parallel stent graft technique consists of the simultaneous release of 2 parallel covered stent in the external and internal iliac arteries. 27 Garrido Espeja et al described a sandwich technique to create a neo-bifurcation of the internal iliac artery and preserve distal blood flow.…”

Section: Discussionmentioning

confidence: 99%

“…Additional remarkable treatment modalities and techniques which may be found in case reports or small case series are: retrograde trans-gluteal approach for embolization [24][25][26] parallel stent-graft technique for IIIAA exclusion 27,28 deployment of an iliac branch device to exclude the hypogastric aneurysm [29][30][31][32] endovascular exclusion exploiting the distal branches of the hypogastric artery as landing zones 33 Excluded noteworthy papers regarding clinical presentation-besides what we described in our qualitative synthesis-included: ureterohydronephrosis, ureteral rupture or haematuria [34][35][36][37] sciatic pain 38 arteriovenous fistula 39,40 deep venous thrombosis and pulmonary embolism 41 ileus, or bowel obstruction 42,43 aortoenteric fistula 44,45…”

Section: Excluded Noteworthy Case Reportsmentioning

confidence: 99%

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Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Perini

Mariani

Fanelli

et al. 2020

Vasc Endovascular Surg

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Objectives: The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes. Methods: We performed a systematic review of the literature (database searched: PubMed, Web of Science, Scopus, Cochrane Library; last search: April 2020). We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model. Results: Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I2 54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I2 88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were: embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181). Overall estimated technical success (TS) rate was 91.6% (95% CI 86.8-95.5; I2 45.82%, P = .031). TS rate was 94.5% for open surgery (95%CI 85.3-100; I2 0%, P = .907), and 89.7% for endovascular repair (95%CI 83.8-95.6; I2 55.43%, P = .006). Estimated overall 30-day mortality was 3.1% (95%CI 0.8-5.4; I2 0%, P = .969). Mortality rates after open surgery and endovascular repair were 8.2% (95%CI 3.4-19.8; I2 0%, P = .545) and 2.8% (95%CI 0.5-5.1; I2 0%, P = .994), respectively. Estimated mean follow-up was 32.63 months (95%CI 21.74-43.53; I2 94.45%, P < .001). During this timeframe, IIIAA exclusion was preserved in 92.8% of the patients (95%CI 89.3-96.2; I2 0%, P = .797). Buttock claudication occurred in 13.9% of the patients (95%CI 8.7-19.2; I2 0%, P = .622). Conclusions: IIIAA are frequently large, and symptomatic at presentation. Several treatments are proposed in literature, open and endovascular, both with good results. The endovascular treatment is the preferred method of treatment in literature, since it offers good short- to mid-term results and low early mortality. Buttock claudication after hypogastric artery exclusion is a common complication.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Excluded Noteworthy Case Reportsmentioning

confidence: 99%

See 2 more Smart Citations

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Perini

Mariani

Fanelli

et al. 2020

Vasc Endovascular Surg

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“…9,10 Nevertheless, continued innovations and improvements in device design have served to broaden the population of AAA patients offered repair. 11,12 The implementation of screening programmes in select countries has also been associated with declines in mortality, as this has resulted in a lower incidence of ruptured AAA. 13,14 Still, cardiovascular risk factors, both modifiable and non-modifiable, have a significant role to play in the modification of AAA mortality e not merely by impacting the prevalence and progression of AAA, but also via their influence on peri-operative mortality for patients undergoing repair.…”

Section: Discussionmentioning

confidence: 99%

Editor's Choice – Decrease in Mortality from Abdominal Aortic Aneurysms (2001 to 2015): Is it Decreasing Even Faster?

Png

Tang

et al. 2021

European Journal of Vascular and Endovascular Surgery

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The early 21st century has witnessed a global decrease in mortality from abdominal aortic aneurysms (AAA) which was associated with variations in the global prevalence of cardiovascular risk factors. This study investigates whether these trends continued into the second decade of the 21st century.Objective: The early twenty first century witnessed a decrease in mortality from abdominal aortic aneurysms (AAA), which was associated with variations in the prevalence of cardiovascular risk factors. This study investigated whether these trends continued into the second decade of the twenty first century. Methods: Information on AAA mortality (2001 À 2015) using International Classification of Diseases codes was extracted from the World Health Organization (WHO) mortality database. Data on risk factors were extracted from the Institute of Health Metrics and Evaluation and WHO InfoBase, and data on population from the World Development Indicators database. Regression analysis of temporal trends in cardiovascular risk factors was done independently for correlations with AAA mortality trends. Results: Seventeen countries across four continents met the inclusion criteria (Australasia, two; Europe, 11; North America, two; Asia, two). Male AAA mortality decreased in 13 countries (population weighted average: À2.84%), while female AAA mortality decreased in 11 countries (population weighted average: À1.64%). The decrease in AAA mortality was seen in both younger (< 65 years) and older (> 65 years) patients. The decrease in AAA mortality was more marked in the second decade of the twenty first century (2011 e 2015) compared with the first decade (2001 e 2005 and 2006 e 2010). Trends in AAA mortality positively correlated with smoking (males: p ¼ .03X, females: p ¼ .001) and hypertension (males: p ¼ .001, females: p ¼ .01X). Conversely, AAA mortality negatively correlated with obesity (males: p ¼ .001, females: p ¼ .001), while there was no significant correlation with diabetes. Conclusion: AAA mortality has continued to decline and seems to have declined at an even faster rate in the second decade of the twenty first century, albeit with heterogeneity among countries. These variations are multifactorial in origin but further efforts targeting smoking cessation and blood pressure control will probably contribute to continued reductions in AAA mortality.

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Graft-preserving intervention for treatment of heparin-induced thrombocytopenia secondary to a heparin-bonded renal artery bridging stent graft

Png,

Schell,

Flores

et al. 2023

Annals of Vascular Surgery - Brief Reports and Innovations

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Bilateral GORE Iliac Branch Endoprosthesis with prior open abdominal aortic aneurysm repair

Cited by 7 publications

References 18 publications

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Editor's Choice – Decrease in Mortality from Abdominal Aortic Aneurysms (2001 to 2015): Is it Decreasing Even Faster?

Graft-preserving intervention for treatment of heparin-induced thrombocytopenia secondary to a heparin-bonded renal artery bridging stent graft

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