Internal Iliac Artery Branch Stent Grafting for Aortoiliac Aneurysms Using the Apollo Branched Device

Massière, Bernardo; Ristow, Arno von; Cury, José Mussa; Gress, Marcus; Vescovi, Alberto; Marques, Marcos Arêas

doi:10.1016/j.avsg.2009.08.014

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…Although treatment of CIA aneurysms that coexist with AAAs has not yet been standardized [ 3 ] , several endovascular techniques are available, which can be divided into those that either sacrifice or preserve hypogastric flow [ 4 - 7 ] . The techniques that sacrifice hypogastric flow have a disadvantage in that they can cause buttock claudication, sexual dysfunction, and ischemic colitis [ 8 - 11 ] .…”

Section: Introductionmentioning

confidence: 99%

Dilatation of common iliac arteries after endovascular infrarenal abdominal aortic repair with bell-bottom extension

Telles

Filho

Karakhanian

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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ObjectiveEndovascular techniques to treat abdominal aortic aneurysms results in lower morbidity and mortality rates. However, dilation of the common iliac arteries prevents adequate distal sealing, which compromises the procedure success. The aim of this study is report the long-term outcomes of patients with abdominal aortic aneurysms associated with aneurysm of the common iliac artery following endovascular repair using a bifurcated bell-bottom stent graft.MethodsThis is a retrospective study that evaluated patients treated with bifurcated bell-bottom extension stent grafts to repair an infrarenal abdominal aortic aneurysm and who had at least one common iliac artery with dilatation > 1.5 cm for at least 12 months after the endovascular intervention.ResultsThirty-eight patients with a mean age of 70.4±8.2 years were included. Stent graft placement was followed by dilation of the common iliac artery aneurysms in 35.3% of cases; endoleak and reoperation rates were 17.6% and 15.7%, respectively. Younger patients showed a higher rate of artery diameter increase following the procedure. The average arterial dilation was 16% in the first year, 29% in the second year, 57% in the third year and 95% from the fourth year until the end of follow-up.ConclusionRepair of infrarenal abdominal aortic aneurysms with bifurcated bell-bottom type stents when there is common iliac artery dilation is a good therapeutic option to preserve hypogastric flow. The rate of endoleak was 17.6%, and 15.7% of cases required reoperation. Younger patients are more likely to experience dilation of the common iliac artery after the procedure.

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Section: Introductionmentioning

confidence: 99%

Dilatation of common iliac arteries after endovascular infrarenal abdominal aortic repair with bell-bottom extension

Telles

Filho

Karakhanian

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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“…The implantation of branched iliac devices has been reported by some authors as having high technical success rates. 27–29 Nevertheless, Falkensammer et al 26 reported that 10.6% of the 47 patients included in their study experienced occlusion of the internal iliac side branch during follow-up after placement of a branched iliac device, while Greenberg et al 5 , on an early report, identified that 15% of patients with branched iliac devices presented with acute branch thrombosis and 11% with late branch vessel thrombosis. Occlusions of the external limb have also been reported in patients with branched iliac devices.…”

Section: Discussionmentioning

confidence: 99%

Management of aortoiliac aneurysms by retrograde endovascular hypogastric artery preservation

et al. 2013

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We evaluated the outcome of the retrograde endovascular hypogastric artery preservation (REHAP) technique for the treatment of complex aortoiliac aneurysms (AIAs). Perioperative and long-term outcomes were assessed for 12 patients (mean age 77 years, range 64-86 years) who underwent elective endovascular AIA repair via aortouniiliac endografting and REHAP between January 2004 and January 2011. Preoperative images obtained by computed tomography were used for planning. Postoperative images were obtained one and six months after surgery, and once a year thereafter. Technical success was achieved in all cases. No patients exhibited endoleak related to the endoprosthesis, occlusion of implanted components, hip and/or buttock claudication, or colon or spinal cord ischemia during follow-up. This hybrid procedure illustrates the potential of REHAP in the treatment of AIA cases.

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“…2,5 The use of stent-grafts to bridge the gap between bifurcated iliac grafts and target arteries for treatment of common iliac artery aneurysms has become a desirable technique to preserve internal iliac artery blood flow. 11,[13][14][15][16]25 Studies reviewed by Karthikesalingam and colleagues 12 reported the use of i-Cast, Jomed, and Fluency as bridging stent-grafts. Among the 9 publications reviewed totaling 196 patients who underwent EVAR with an iliac branched device, 2 type III endoleaks were reported.…”

Section: Discussionmentioning

confidence: 99%

“…this technology is still limited, branched stent-grafts have been successful in repairing TAAAs 1-10 and juxtarenal, aortoiliac, and common iliac artery aneurysms. [11][12][13][14][15][16] However, the durability of bridging stent-grafts and the long-term fate of target vessels require further study. The ability of different bridging stent-grafts to withstand crushing force when deployed within endograft fenestrations has been studied.…”

Section: ¤ ¤mentioning

confidence: 99%

Bridging Stent-Graft Pullout Force Analysis

Grenville

Tan

Tse

et al. 2011

Journal of Endovascular Therapy

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There is a small but significant difference in pullout forces among various bridging stent-grafts. As pullout forces may be one factor contributing to type III endoleaks in complex endovascular repairs involving fenestrated and branched stent-grafts, further study is warranted to compare these grafts clinically to determine if they perform differently. According to this study, the theoretical advantages associated with the Viabahn stent-graft make it a strong choice for minimizing branch dislocations.

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Internal Iliac Artery Branch Stent Grafting for Aortoiliac Aneurysms Using the Apollo Branched Device

Cited by 4 publications

References 18 publications

Dilatation of common iliac arteries after endovascular infrarenal abdominal aortic repair with bell-bottom extension

Dilatation of common iliac arteries after endovascular infrarenal abdominal aortic repair with bell-bottom extension

Management of aortoiliac aneurysms by retrograde endovascular hypogastric artery preservation

Bridging Stent-Graft Pullout Force Analysis

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