Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years
Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years
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Tarih
2019-01-01
Yazarlar
Goksel, Onur S.
Gok, Emre
Onalan, Akif
Guven, Koray
Capar, Gazi
Cinar, Bayer
Alpagut, Ufuk
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
FORUM MULTIMEDIA PUBLISHING, LLC
Dergi Adı
HEART SURGERY FORUM
Özet
Objectives: Isolated iliac artery aneurysms (IAAs) are rare, but nonetheless life-threatening when ruptured. The endovascular approach has taken over open repairs in time. The reported data is constituted of a retrospective series. We reviewed our 10-year-long experience with elective endovascular treatment of iliac aneurysms. Methods: Data regarding 22 patients with 24 IAAs treated with endovascular stent grafting between 2005 and 2015 were reviewed. Results: Twenty-two patients (aged 68.4 +/- 9.6 years, range 50-82) with 24 unilateral or bilateral iliac aneurysms were treated. Twenty patients (91\%) were male. Two patients with unilateral IAA had prior abdominal aortic aneurysm (AAA) surgical repair. The mean aneurysm diameter was 4.8 +/- 2.1 (3.8 to 7.1) mm. Procedural success rate was 100\%
only one patient with an iliovenous fistula had periprocedural type II endoleak. Internal iliac artery coil occlusion was applied in 16 of 24 procedures (66\%). Thirty-day mortality included one patient (4\%). Conclusion: Endovascular repair is the preferred approach for isolated IAAs. Because of the retrospective nature of data sets, larger cohorts are necessary for better definition of morbidity and mortality rates.
only one patient with an iliovenous fistula had periprocedural type II endoleak. Internal iliac artery coil occlusion was applied in 16 of 24 procedures (66\%). Thirty-day mortality included one patient (4\%). Conclusion: Endovascular repair is the preferred approach for isolated IAAs. Because of the retrospective nature of data sets, larger cohorts are necessary for better definition of morbidity and mortality rates.