Midterm results of endovascular stented grafts for the treatment of isolated iliac artery aneurysms

Abstract

EGs appear to show satisfactory safety and efficacy for the repair of isolated aneurysms of the iliac arteries.

Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair

“…At this time, OR is the main treatment option of CIAAs that cause compressive symptoms because most IAAs do not decrease in size after EVAR. 39 Our review has the usual limitations of a large retrospective study. This is a single-center experience with CIAAs, including those who presented with associated AAAs.…”

“…Anastomotic endoleak occurred in 4% of the patients. 26 In a series of 28 isolated IAAs treated with EVAR, Parsons et al 39 reported four (12%) complications, that included embolization (n ϭ 1), wound dehiscence (n ϭ 2), and mucosal ischemia (n ϭ 1). One late rupture required conversion to OR.…”

“…22 The incidence of buttock claudication and pelvic ischemic complications after bilateral IIA occlusion is very high, 8,40 however, and patients with a contralateral IIA who are treated with EVAR should also undergo ipsilateral IIA revascularization using either endovascular or open surgical techniques, such as retroperitoneal IIA bypass using the common femoral or EIA as inflow. Early results of branched stent graft repairs of IAAs have been published, 13,16,[19][20][21][22][23]34,39,40 and more frequent use of these devices to assure pelvic perfusion can be expected in the future.…”

Isolated iliac artery aneurysms: A contemporary comparison of endovascular and open repair

“…26 Our reintervention rate at 2 years was 14%, which compares favorably with other reports. 7,27,28 Given the difficulties in performing sonography in this region, however, this reintervention rate would suggest that these patients should get yearly CT follow-up until less rigorous follow-up, perhaps with duplex, can be proven safe.…”

Treatment of solitary iliac aneurysms: Clinical review of 28 cases

“…3,4 However, EVR of bilateral SIAs may require occlusion of the internal iliac arteries, which can cause buttock claudication, colonic ischemia, and impotence in men. Both Melki et al 28 and Yano et al 29 reported buttock claudication or pelvic ischemia caused by intentional internal iliac artery occlusion in about 21% of patients.…”