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Title: The Endovascular Management of Iliac Artery Aneurysms

Abstract

Background: Isolated aneurysms of the iliac arteries are uncommon. Previously treated by conventional surgery, there is increasing use of endografts to treat these lesions. Purpose: The purpose of this study was to assess the efficacy, safety, and durability of the stent-grafts for treatment of iliac artery aneurysms (IAAs). The results of endografting for isolated IAAs over a 10-year period were analyzed retrospectively. The treatment methods differed depending on the anatomic location of the aneurysms. Twenty-one patients (1 woman, 20 men) underwent endovascular stent-graft repair, with one procedure carried out under emergency conditions after acute rupture. The mean aneurysm diameter was 4.6 cm.Results:The procedural technical success was 100%. There was zero 30-day mortality. Follow-up was by interval CT scans. At a mean follow-up of 51.2 months, the stent-graft patency rate was 100%. Reintervention was performed in four patients (19%): one patient (4.7%) with a type I endoleak and three patients (14.3%) with type II endoleaks.Conclusion:We conclude that endovascular repair of isolated IAAs is a safe, minimally invasive technique with low morbidity rates. Follow-up results up to 10 years suggest that this approach is durable and should be regarded as a first treatment option for appropriate candidates.

Authors:
 [1]; ; ;  [2]; ;  [1]
  1. St George's Hospital, Department of Radiology (United Kingdom)
  2. St George's Hospital, Department of Vascular Surgery (United Kingdom)
Publication Date:
OSTI Identifier:
21090743
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 30; Journal Issue: 6; Other Information: DOI: 10.1007/s00270-007-9133-3; Copyright (c) 2007 Springer Science+Business Media, LLC; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; GRAFTS; IMAGE PROCESSING; MORTALITY; PATIENTS; RUPTURES; SURGERY; VASCULAR DISEASES

Citation Formats

Stroumpouli, Evangelia, Nassef, Ahmed, Loosemore, Tom, Thompson, Matt, Morgan, Robert, and Belli, Anna-Maria. The Endovascular Management of Iliac Artery Aneurysms. United States: N. p., 2007. Web. doi:10.1007/S00270-007-9133-3.
Stroumpouli, Evangelia, Nassef, Ahmed, Loosemore, Tom, Thompson, Matt, Morgan, Robert, & Belli, Anna-Maria. The Endovascular Management of Iliac Artery Aneurysms. United States. https://doi.org/10.1007/S00270-007-9133-3
Stroumpouli, Evangelia, Nassef, Ahmed, Loosemore, Tom, Thompson, Matt, Morgan, Robert, and Belli, Anna-Maria. 2007. "The Endovascular Management of Iliac Artery Aneurysms". United States. https://doi.org/10.1007/S00270-007-9133-3.
@article{osti_21090743,
title = {The Endovascular Management of Iliac Artery Aneurysms},
author = {Stroumpouli, Evangelia and Nassef, Ahmed and Loosemore, Tom and Thompson, Matt and Morgan, Robert and Belli, Anna-Maria},
abstractNote = {Background: Isolated aneurysms of the iliac arteries are uncommon. Previously treated by conventional surgery, there is increasing use of endografts to treat these lesions. Purpose: The purpose of this study was to assess the efficacy, safety, and durability of the stent-grafts for treatment of iliac artery aneurysms (IAAs). The results of endografting for isolated IAAs over a 10-year period were analyzed retrospectively. The treatment methods differed depending on the anatomic location of the aneurysms. Twenty-one patients (1 woman, 20 men) underwent endovascular stent-graft repair, with one procedure carried out under emergency conditions after acute rupture. The mean aneurysm diameter was 4.6 cm.Results:The procedural technical success was 100%. There was zero 30-day mortality. Follow-up was by interval CT scans. At a mean follow-up of 51.2 months, the stent-graft patency rate was 100%. Reintervention was performed in four patients (19%): one patient (4.7%) with a type I endoleak and three patients (14.3%) with type II endoleaks.Conclusion:We conclude that endovascular repair of isolated IAAs is a safe, minimally invasive technique with low morbidity rates. Follow-up results up to 10 years suggest that this approach is durable and should be regarded as a first treatment option for appropriate candidates.},
doi = {10.1007/S00270-007-9133-3},
url = {https://www.osti.gov/biblio/21090743}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 6,
volume = 30,
place = {United States},
year = {Thu Nov 15 00:00:00 EST 2007},
month = {Thu Nov 15 00:00:00 EST 2007}
}