Endovascular Repair of Abdominal Aortic Aneurysms With Concomitant Common Iliac Artery Aneurysm:Outcome Analysis of the EUROSTAR Experience

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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Natural History of Common Iliac Artery Aneurysm in Men with Screening Detected Abdominal Aortic Aneurysms

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2019.06.523 ◽

2019 ◽

Vol 58 (6) ◽

pp. e21

Author(s):

Achilleas Karkamanis ◽

Kevin Mani ◽

Martin Björck ◽

Anders Wanhainen

Keyword(s):

Natural History ◽

Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Iliac Artery Aneurysm ◽

Abdominal Aortic ◽

Common Iliac Artery Aneurysm ◽

History Of

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Embolization of the internal iliac artery during endovascular repair of abdominal aortic aneurysms

Angiology and vascular surgery ◽

10.33529/angio2019417 ◽

2019 ◽

Vol 25 (4) ◽

pp. 76

Author(s):

A. V. Chupin ◽

S. V. Deriabin ◽

V. A. Chigasov

Keyword(s):

Iliac Artery ◽

Endovascular Repair ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Internal Iliac

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Common iliac artery aneurysms in patients with abdominal aortic aneurysms

European Journal of Vascular and Endovascular Surgery ◽

10.1016/s1078-5884(98)80186-x ◽

1998 ◽

Vol 15 (3) ◽

pp. 255-257 ◽

Cited By ~ 159

Author(s):

M.P. Armon ◽

P.W. Wenham ◽

S.C. Whitaker ◽

R.H.S. Gregson ◽

B.R. Hopkinson

Keyword(s):

Iliac Artery ◽

Common Iliac Artery ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic

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Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms

Journal of Vascular Surgery ◽

10.1067/mva.2000.109750 ◽

2000 ◽

Vol 32 (4) ◽

pp. 676-683 ◽

Cited By ~ 191

Author(s):

Laura A. Karch ◽

Kim J. Hodgson ◽

Mark A. Mattos ◽

William T. Bohannon ◽

Don E. Ramsey ◽

...

Keyword(s):

Iliac Artery ◽

Endovascular Repair ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysms ◽

Artery Occlusion ◽

Aortic Aneurysms ◽

Iliac Artery Occlusion ◽

Abdominal Aortic ◽

Internal Iliac

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Managing Unilateral or Bilateral Common Iliac Artery Aneurysms with Preservation of the Hypogastric Artery

10.1093/med/9780199986071.003.0007 ◽

2018 ◽

Author(s):

S. Lowell Kahn

Keyword(s):

Stent Graft ◽

Iliac Artery ◽

Common Iliac Artery ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Hypogastric Artery ◽

Stent Grafts ◽

Abdominal Aortic ◽

Clinically Significant

Isolated common iliac artery aneurysms are uncommon, occurring in 0.03% of the population, and are responsible for less than 2% of clinically significant aneurysm disease. However, the incidence of iliac artery aneurysms is much higher in patients with abdominal aortic aneurysms, with an incidence close to 40% in this population. The presence of bilateral iliac aneurysms in this population is common. This chapter describes two techniques to manage unilateral or bilateral common iliac artery aneurysms with preservation of the hypogastric artery: use of an Endologix AFX stent graft with snorkel placement and use of two bifurcated Gore Excluder stent grafts.

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