Gore Iliac Branch Endoprosthesis for treatment of bilateral common iliac artery aneurysms

Maldonado, Thomas S.; Mosquera, Nilo J.; Lin, Peter H.; Bellosta, Raffaello; Barfield, Michael; Moussa, Albeir; Rhee, Robert Y.; Schermerhorn, Marc L.; Weinberger, Jeffrey M.; Wikkeling, Marald; Heyligers, Jan M.M.; Veith, Frank J.; Milner, Ross; Reijnen, Michel; Brussel, J.P. van; Naslund, Thomas C.; Azarbal, Amir-Farzin; Camacho, Marc A.; Tai, Hue; Woo, Edward Y.; Oderich, Gustavo S.; Randon, Mark; Eefting, D.; Sambeek, Marc van; Mangialardi, Nicola; Chaer, Rabih A.; Campbell, Doug; Nagarsheth, Khanjan H.

doi:10.1016/j.jvs.2017.12.043

Cited by 36 publications

(31 citation statements)

References 27 publications

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“…The results of our study are in accordance with unilateral / bilateral IBDI reported in literature in relation to technical success (range 84-100%), perioperative mortality (range 0-1.4%) and perioperative morbidity (range 2-13.3%), primary IBD patency and number of re-interventions 8,[31][32][33][34][35] . The unilateral IBDI is also reported to be associated with significant lower incidence of buttock claudication and overall ischemic complications one month after the procedure in comparison to those without revascularization of IIA (ref.…”

Section: Discussionsupporting

confidence: 89%

“…Recently studies of endovasular treatment of bilateral AIA / bilateral isolated common iliac artery anerysms with bilateral IBDI have been published 34,35 . These demonstrate better outcomes in relation to the prevention of ischemic complications and is reported to have similar technical sucess compared to unilateral IBDI.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly Maldonado et al reported only 2.5% risk of buttock claudication and no other ischemic complications in patients with bilateral common iliac artery aneurysms treated with bilateral IBDI (ref. 34 ). Technical success was achieved in 97.9% (in 46 of the 47 patients).…”

Section: Discussionmentioning

confidence: 99%

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Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

Drác¹,

Černá²,

Köcher³

et al. 2021

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. The coverage / occlusion of internal iliac artery (IIA) during endovascular treatment of aorto-iliac aneurysms (AIA) can be associated with risk of ischemic complications. To reduce these complications, unilateral or bilateral iliac branch device implantation (IBDI) has been reported. This study aims at evaluating the efficacy of simultaneous unilateral IBDI in the treatment of AIAs and comparing our results with literature. Materials and Methods. From March 2010 to December 2019, 27 patients (25 men, 2 women, range 54-84 years) were treated for aorto-iliac/isolated common iliac aneurysms with simultaneous unilateral revascularization of IIA and surgical / endovascular occlusion of contralateral IIA. 27 iliac-branched devices were implanted in 27 patients. The results including ischemic complications were evaluated and compared with literature. Results. The technical success was 100% with no perioperative mortality and morbidity of 3.7%. Primary internal iliac branch patency at a median follow-up of 52 months (range 1-118 months) was 96.42%. Secondary endoleak was observed in 6 patients (Type 1a [1], Type 1b [1], Type II [4]) and inflammatory complication in 1 patient. The incidence of buttock claudication one year after the procedure was 11.1%. Except for buttock claudication no other ischemic complications occurred. Conclusion. Unilateral flow preservation in the IIA territory using IBDI is associated with a lesser, but a certain risk of ischemic complications. Bilateral IBDI with bilateral flow preservation of IIAs increases the complexity, procedure-/ fluoroscopy times, contrast agent volume and cost, however, may further reduce these ischemic complications.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

Drác¹,

Černá²,

Köcher³

et al. 2021

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…This assertion comes from balancing the results against previous large reports of unilateral IBDs, 2 as no disadvantage compared with unilateral use is presented in this work. Also, by comparison with other previous reports on bilateral IBD deployment, 3,4 which share common limitations of sample size and length of follow up, the procedure does not seem to be device dependent. However, the key point in this affair is whether the use of two IBDs in the same patient is justified and offers benefits over preserving just one hypogastric artery.…”

mentioning

confidence: 56%

The Safari for Adequate Landing Zones in EVAR Continues: Bilateral Use of Cook Zenith Iliac Branch Devices

Marcos

2019

European Journal of Vascular and Endovascular Surgery

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“…The bifurcation system could not only preserve the blood perfusion of the internal iliac artery but also prevent type II endo-leakage from the retrograde flow of the internal iliac artery; a low complication rate and high technical success rate were also noted in other research. [ 25 – 27 ]…”

Section: Discussionmentioning

confidence: 99%

Progressing left-side sciatica revealing a common iliac artery mycotic aneurysm in an elderly patient

et al. 2020

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Rationale: Sciatica is usually caused by lumbar spine disease; the incidence of sciatica from extra-spinal causes is noted to be only about 0.09%. Patient concerns: We report a case of a 92-year-old man who came to the neurologist outpatient department due to left buttock pain and numbness that radiated to the left lower leg in the recent 6 months and progressed rapidly over 10 days. Diagnosis: We arranged magnetic resonance imaging for lumbar nerve lesion. Magnetic resonance imaging showed a common iliac artery mycotic aneurysm, at about 6.3 cm in diameter, which compressed the psoas muscle, nerve plexus, and vein. Interventions: We used a left-side iliac bifurcation stent graft of 12 mm in diameter for aneurysm repair. An internal iliac artery with a stent graft of 10 mm x 5 cm. An abdomen aortic aneurysm stent was inserted, 1 cm beneath the right renal artery from the right side femoral artery. Outcomes: After endovascular repair and 4 weeks of antibiotic treatment, he could walk again, and no sciatica was noted. We repeated computed tomography 5 months after the operation and noted that the size of the iliac artery aneurysm decreased without stent graft migration or extravasation. Our patient recovered from sciatic and left leg weakness; above all, he could walk again. Lessons: We suggest practitioners check for common iliac artery aneurysms in the diagnosis of symptoms mimicking spinal cord origin sciatica, especially in elder patients.

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Gore Iliac Branch Endoprosthesis for treatment of bilateral common iliac artery aneurysms

Cited by 36 publications

References 27 publications

Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

The Safari for Adequate Landing Zones in EVAR Continues: Bilateral Use of Cook Zenith Iliac Branch Devices

Progressing left-side sciatica revealing a common iliac artery mycotic aneurysm in an elderly patient

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