Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Endovascular Treatment of Isolated Common Iliac Artery Aneurysms With Short Necks Using Bifurcated Stent-Grafts

  • Wi, Jin (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Ko, Young-Guk (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Kim, Jung-Sun (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Choi, Dong-Hoon (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Hong, Myeong-Ki (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Lee, Do-Youn (Department of Internal Medicine and Diagnostic Radiology, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Jang, Yang-Soo (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine) ;
  • Shim, Won-Heum (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Yonsei University College of Medicine)
  • Received : 2009.11.16
  • Accepted : 2010.01.02
  • Published : 2010.07.30
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Abstract

Elective surgical repair has traditionally been considered to be the treatment of choice for the exclusion of isolated iliac artery aneurysms (IAAs). Recently, endovascular repair has evolved as an alternative to surgical repair, especially in patients at high surgical risk. However, in the absence of sufficient proximal necks, iliac artery aneurysms are not suitable for direct deployment of a tubular-shaped endograft. Here we report two cases of IAAs with short proximal necks that were excluded using an endovascular bifurcated stent-graft. The bifurcated stent-graft was successfully deployed with complete exclusion of the aneurysm. In neither case was there evidence of procedural failures. There were no signs of significant complications. We conclude that endovascular repair of IAAs with short proximal necks is feasible and efficient using an endovascular bifurcated stent-graft.

Keywords

References

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