Endovascular Treatment of Infrarenal Abdominal Aortic Lesions With or Without Common Iliac Artery Involvement

2012 ◽  
Vol 36 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Hakan Önder ◽  
Levent Oğuzkurt ◽  
Serkan Gür ◽  
Güven Tekbaş ◽  
Kamil Gürel ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Abdominal Aortic ◽  
Aortic Lesions

Secondary Relining With Focal Flaring of Novel-Generation Balloon-Expandable Covered Stents for Endovascular Treatment of Significant Diameter Mismatch in the Aorto-Iliac Territory

Vascular ◽  
2020 ◽  
pp. 170853812094505
Author(s):  
Mario D’Oria ◽  
Filippo Griselli ◽  
Davide Mastrorilli ◽  
Filippo Gorgatti ◽  
Silvia Bassini ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Stent Graft ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Covered Stents ◽  
Abdominal Aortic ◽  
The Right

Objectives The aim of this study was to report on the safety and feasibility of secondary relining with focal flaring of novel-generation balloon-expandable covered stents for endovascular treatment of significant diameter mismatch in the aorto-iliac territory. Significant diameter mismatch was defined as >20% difference in the nominal diameter between the intended proximal and distal landing zones. Methods Patient A was an 84-year-old man with prior abdominal aortic aneurysm open repair with a straight 20 mm Dacron tube. He presented with a right common iliac artery aneurysm (Ø88 mm) with contained rupture. The Gore Viabahn endoprosthesis (9 mm × 5 cm) was inserted proximally about 15 mm above the occluded ostium of the internal iliac artery. Subsequently, the BeGraft Aortic® (16 mm × 48 mm) was inserted proximally up to the common iliac artery origin; its proximal portion was flared to 22 mm. Patient B was a 77-year-old man with prior endovascular abdominal aortic aneurysm repair with a Medtronic Endurant stent-graft. He presented with occlusion of the right limb of the aortic endoprosthesis and thrombosis that extended down to the level of the superficial femoral artery. After mechanical thrombectomy, two Gore Viabahn endoprosthesis (first one, 8 mm × 10 cm; second one, 10 mm × 15 cm) were inserted into the right iliac limb. Subsequently, the BeGraft Aortic® (12mm × 39mm) was inserted proximally up to the gate of the aortic stent-graft; its proximal portion was flared to 16 mm. Results Technical success and clinical success were achieved in both patients. Imaging follow-up (6 months for Patient A, 12 months for Patient B) showed correct placement of all stent-grafts without any graft-related adverse event. The patients remained free from new reinterventions or recurrent symptoms. Patient A died 8 months after the index procedure from acute respiratory failure after community acquired pneumonia. Conclusion Secondary relining with focal flaring of novel-generation balloon-expandable covered stents for endovascular treatment of significant diameter mismatch in the aorto-iliac territory is safe and feasible. Although mid-term results seem to be effective, longer follow-up is warranted to establish durability of the technique.

Emergency endovascular treatment of a ruptured internal iliac artery aneurysm long after abdominal aortic aneurysm surgical repair

VASA ◽  
2009 ◽  
Vol 38 (1) ◽  
pp. 91-93 ◽  
Author(s):  
Borioni ◽  
De Luca ◽  
Maspes ◽  
Sciuto ◽  
Garofalo
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Iliac Artery ◽  
Surgical Repair ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Emergency Setting ◽  
Abdominal Aortic ◽  
Internal Iliac

The purpose of this report is to describe the endovascular exclusion of an internal iliac artery (IIA) aneurysm in emergency setting, long after abdominal aortic aneurysm surgical repair. An 85-year-old male presented with a contained rupture of a huge IIA aneurysm, ten years after aortoiliac bifurcated grafting. Because of poor clinical conditions an emergency endovascular treatment was planned. A stent-graft was positioned from the proximal right branch of the bifurcated surgical prosthesis to the distal external iliac artery, covering the hypogastric aneurysm neck. One month after the procedure, CT scan demonstrated the complete exclusion of the aneurysm. Endovascular treatment of IIA aneurysms is an excellent option to reduce perioperative morbidity and mortality in high risk patients, particularly in an emergency setting.

scholarly journals A case of inflammatory abdominal aortic aneurysm diagnosed clinically with left common iliac artery aneurysm.

Ensho ◽  
2000 ◽  
Vol 20 (5) ◽  
pp. 619-623
Author(s):  
Hiroaki Inamura ◽  
Motohiro Kurosawa ◽  
Jun-ichiro Morioka ◽  
Rieko Nakagami ◽  
Yutaka Mizushima ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Abdominal Aortic ◽  
Common Iliac Artery Aneurysm ◽  
Inflammatory Abdominal Aortic Aneurysm

scholarly journals AA3. Endovascular Treatment of Isolated Common Iliac Artery Aneurysms Using Iliac Branch Stent Grafts Without Aortic Component: A National Multicenter Registry

2018 ◽  
Vol 68 (5) ◽  
pp. e135
Author(s):  
Alessia Giaquinta ◽  
Nicola Mangialardi ◽  
Piergiorgio Cao ◽  
Fabio Verzini ◽  
Carlo Pratesi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Stent Grafts ◽  
Multicenter Registry

Strategy for Isolated Iliac Artery Aneurysms

2007 ◽  
Vol 15 (4) ◽  
pp. 280-284 ◽  
Author(s):  
Shinichi Hiromatsu ◽  
Yukio Hosokawa ◽  
Noriko Egawa ◽  
Hiroko Yokokura ◽  
Keiichi Akaiwa ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Abdominal Aortic Aneurysms ◽  
Prosthetic Graft ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Internal Iliac ◽  
Stent Graft Repair ◽  
The Common ◽  
Isolated Iliac Artery Aneurysms

We retrospectively reviewed 41 patients with isolated iliac artery aneurysms presenting over a 21-year period. The mean age was 72 years. Mean aneurysmal diameter was 6.0 cm (range, 3.2–13 cm). The aneurysms were located in the common iliac artery in 31 patients, internal iliac artery in 7, and both arteries in 3. Rupture occurred in 20 patients (49%). The frequency of rupture of isolated iliac artery aneurysms was significantly higher than that of abdominal aortic aneurysms (8%) during the same period. The 30-day mortality was 9.8%; death in all 4 patients was due to rupture of the aneurysm. The surgical procedure was aneurysmectomy and replacement with a bifurcated prosthetic graft in 24 patients (59%), closure of the common iliac artery with a femorofemoral crossover in 7, minilaparotomy in 3, thromboexclusion in 6, and endoluminal stent-graft repair in one. In contrast to abdominal aortic aneurysms, isolated iliac artery aneurysms can be treated by various methods other than replacement with a bifurcated prosthetic graft. When selecting a strategy for such aneurysms, it is important to choose an approach appropriate to the location and risk, because of the frequency of rupture.

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