DOI QR코드

DOI QR Code

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

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

  1. Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg 1989;10:381-4. https://doi.org/10.1016/0741-5214(89)90411-4
  2. Richardson JW, Greenfield LJ. Natural history and management of iliac aneurysms. J Vasc Surg 1988;8:165-71. https://doi.org/10.1016/0741-5214(88)90405-3
  3. Bolin T, Lund K, Skau T. Isolated aneurysms of the iliac artery: what are the chances of rupture? Eur J Vasc Surg 1988;2:213-5. https://doi.org/10.1016/S0950-821X(88)80028-8
  4. Kasirajan V, Hertzer NR, Beven EG, O'Hara PJ, Krajewski LP, Sullivan TM. Management of isolated common iliac aneurysms. Cardiovasc Surg 1998;6:171-7. https://doi.org/10.1016/S0967-2109(97)00136-1
  5. Cardon JM, Cardon A, Joueux A, Vidal V, Noblet D. Endovascular repair of iliac artery aneurysm with endoprosystem I: a multicentric French study. J Cardiovasc Surg 1996;37(3 Suppl 1):45-50.
  6. Boules TN, Selzer F, Stanziale SF, et al. Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 2006;44:29-37. https://doi.org/10.1016/j.jvs.2006.02.055
  7. Lowry SF, Kraft RO. Isolated aneurysm of the iliac artery. Arch Surg 1978;113:1289-93. https://doi.org/10.1001/archsurg.1978.01370230079009
  8. McCready RA, Paizolero PC, Gilmore JC, Kazmier FJ, Cherry KJ Jr, Hollier LH. Isolated iliac artery aneurysm. Surgery 1983;93:688-93.
  9. van Sambeek MR, van Urk H. Endovascular treatment of isolated iliac artery aneurysms. Eur J Vasc Endovasc Surg 1998;15:91-2. https://doi.org/10.1016/S1078-5884(98)80127-5
  10. Shim WH, Choi D, Yoon YS, Lee DY, Jang BC. Bifurcated stent-graft (vanguard) for the endovascular treatment of abdominal aortic aneurysm. Korean Circ J 1999;29:907-12.
  11. Kim BK, Park S, Ko YG, et al. Immediate and mid-term outcomes of the endovascular stent-graft treatment of abdominal aortic aneurysm. Korean Circ J 2005;35:583-90.
  12. Dorros G, Cohn JM, Jaff MR. Percutaneous endovascular stent-graft repair of iliac artery aneurysms. J Endovasc Surg 1997;4:370-5. https://doi.org/10.1583/1074-6218(1997)004<0370:PESGRO>2.0.CO;2
  13. Marin ML, Veith FJ, Lyon RT, Cynamon J, Sanchez LA. Transfemoral endovascular repair of iliac artery aneurysms. Am J Surg 1995; 170:179-82. https://doi.org/10.1016/S0002-9610(99)80281-5
  14. Ziegler P, Avgerinos ED, Umscheid T, Perdikides T, Erz K, Stelter WJ. Branched iliac bifurcation: 6 years experience with endovascular preservation of internal iliac artery flow. J Vasc Surg 2007;46: 204-10. https://doi.org/10.1016/j.jvs.2007.04.015
  15. Yano OJ, Morrissey N, Eisen L, et al. Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms. J Vasc Surg 2001;34:204-11. https://doi.org/10.1067/mva.2001.115380
  16. Shim CY, Park S, Ko YG, Choi D, Jang Y, Shim WH. Percutaneous closure of femoral artery access sites in endovascular stent-graft treatment of aortic disease. Int J Cardiol 2008;130:251-4. https://doi.org/10.1016/j.ijcard.2007.08.086

Cited by

  1. Endovascular Treatment of an Internal Iliac Artery Aneurysm Using Amplatzer Vascular Plug: 2 Case Reports vol.27, pp.3, 2010, https://doi.org/10.5758/kjves.2011.27.3.120