Endovascular and Hybrid Management of Patients Affected by Abdominal Aortic Aneurysm and Occlusion of the Iliac Arteries.
Aged
Ankle Brachial Index
Aortic Aneurysm
/ complications
Aortography
/ methods
Arterial Occlusive Diseases
/ complications
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ adverse effects
Computed Tomography Angiography
Constriction, Pathologic
Endovascular Procedures
/ adverse effects
Feasibility Studies
Humans
Iliac Artery
/ diagnostic imaging
Male
Middle Aged
Prosthesis Design
Retrospective Studies
Time Factors
Treatment Outcome
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
24
04
2018
revised:
02
08
2018
accepted:
16
08
2018
pubmed:
27
11
2018
medline:
14
6
2019
entrez:
27
11
2018
Statut:
ppublish
Résumé
The presence of a concomitant aortoiliac occlusive disease and abdominal aortic aneurysm (AAA) is rare and limits the implant of a bifurcated endograft. The objective of the study was to evaluate early and midterm results of an endovascular or a hybrid approach in patients undergoing iliac revascularization and AAA exclusion. We reviewed our clinical series of patients from January 2016 to February 2018. Inclusion criterion was an iliac occlusion with concomitant aortic aneurysm. We treated 8 male patients: 8 common iliac arteries (CIAs) and 5 external iliac arteries (EIAs). We implanted 8 bifurcated devices and 13 covered stents, 8 in CIA and 5 in EIA. In 5 cases, when the EIA was involved, we also performed a common femoral artery endarterectomy with a patch. During a mean follow-up of 10 months, the primary patency of the recanalized iliac arteries was 100%, no endoleaks, sac growth, or rupture were also recorded. Endovascular or hybrid treatment of the iliac occlusion combined with infrarenal aortic aneurysm is feasible with favorable early and midterm results.
Sections du résumé
The presence of a concomitant aortoiliac occlusive disease and abdominal aortic aneurysm (AAA) is rare and limits the implant of a bifurcated endograft.
BACKGROUND
BACKGROUND
The objective of the study was to evaluate early and midterm results of an endovascular or a hybrid approach in patients undergoing iliac revascularization and AAA exclusion.
METHODS
METHODS
We reviewed our clinical series of patients from January 2016 to February 2018. Inclusion criterion was an iliac occlusion with concomitant aortic aneurysm.
RESULTS
RESULTS
We treated 8 male patients: 8 common iliac arteries (CIAs) and 5 external iliac arteries (EIAs). We implanted 8 bifurcated devices and 13 covered stents, 8 in CIA and 5 in EIA. In 5 cases, when the EIA was involved, we also performed a common femoral artery endarterectomy with a patch. During a mean follow-up of 10 months, the primary patency of the recanalized iliac arteries was 100%, no endoleaks, sac growth, or rupture were also recorded.
CONCLUSIONS
CONCLUSIONS
Endovascular or hybrid treatment of the iliac occlusion combined with infrarenal aortic aneurysm is feasible with favorable early and midterm results.
Identifiants
pubmed: 30476609
pii: S0890-5096(18)30861-6
doi: 10.1016/j.avsg.2018.08.093
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
147-152Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.