Feasibility of a Branched Stent-Graft in Common Iliac Artery Aneurysms

Abstract

Stent-grafts with an IIA side branch offer an opportunity to repair aortoiliac aneurysms without sacrificing the IIA. Implantation of the IIA branch is more complex than routine endovascular aneurysm repair and may have contributed to a periprocedural cardiac death. More patients and longer follow-up are needed to verify these data.

Endovascular treatment of iliac aneurysm: Concurrent comparison of side branch endograft versus hypogastric exclusion

“…Malina et al, from the same group, underlined that one (10%) late occlusion of the EIA (at six months) on the side of a patent hypogastric branch, remained asymptomatic without adjunctive treatment. 9,25 Our results were not provided by a randomized comparison. Small sample size, limited follow-up, lack of cost-benefit analyses, as well as lack of standardized questionnaire and objective criteria to assess impotence (eg, penile-brachial index) are other limitations of this preliminary experience with IBD.…”

Open vs. endovascular repair of isolated iliac artery aneurysms: A 12-year experience

“…This new device appears to prevent the temporary, but frustrating buttock claudication that may occur with coil embolization of this vessel. 15,16 Further studies are necessary to define the role of side branch devices in anticipation of this problem.…”

Side-Branched AAA Stent Graft Insertion Using Navigation Technology: A Phantom Study

“…The results of several case reports of patients treated with custom-made and side-branched stent grafts [21,22] due to inoperability are indications for this. Recently, two studies regarding the insertion of side-branched and fenestrated stent grafts for the treatment of thoracoabdominal, aortoiliac, and common iliac aneurysms have been published [23,24] . In both studies there were more complex and difficult primary repairs, larger amounts of contrast media, and poor visualization of some regions of the aorta, all of which constitute procedural limitations.…”