In Situ Fenestration of the Internal Iliac Artery as a Bailout Technique Associated With Endovascular Repair of an Abdominal Aortic Aneurysm: Long-term Follow-up

Introduction To report total endovascular treatment for a rare case of Crawford extent IV thoraco-abdominal aortic aneurysm (TAAA) using custom-designed branched device in a patient with Behçet’s disease. Methods A 50 years’ old man with history of BD was accidentally diagnosed Crawford extent IV TAAA during computed tomography follow-up after left nephrectomy of renal carcinoma. The aneurysm extended from descending aorta to right common iliac artery with a maximum diameter of 6.2 cm. Results The endovascular procedure wassuccessfully performed using custom-designed branched component to cannulate visceral arteries, bifurcated endograft and iliac legs to exclude the aneurysm sac in abdominal aorta and an iliac branched device to preserve the right internal iliac artery. The patient was discharged without any complication. Computed tomography angiogram at one month after endovascular repair demonstrated total exclusion of the aneurysm, patent visceral branches and right internal iliac artery. No complication occurred to six-month follow-up. Conclusion Endovascular treatment of stable TAAA in patients with Behc?et's disease using custom-designed branched device is feasible, microinvasive and safe. The long-term efficacy needs to be observed.

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Failure to Preserve the Internal Iliac Artery During Abdominal Aortic Aneurysm Repair is Associated with Mortality and Ischemic Complications

Journal of Vascular Surgery ◽

10.1016/j.jvs.2021.11.077 ◽

2021 ◽

Author(s):

Miju Bae ◽

Chung Won Lee ◽

Sung Woon Chung ◽

Up Huh ◽

Moran Jin ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysm Repair ◽

Abdominal Aortic ◽

Internal Iliac ◽

Ischemic Complications ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair

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

VASA ◽

10.1024/0301-1526.38.1.91 ◽

2009 ◽

Vol 38 (1) ◽

pp. 91-93 ◽

Cited By ~ 4

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.

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Internal iliac artery sacrifice during endovascular abdominal aortic aneurysm repair

Vessel Plus ◽

10.20517/2574-1209.2020.35 ◽

2020 ◽

Vol 2020 ◽

Author(s):

Baker Ghoneim ◽

Patrick Canning ◽

Yogesh Acharya ◽

Niamh Hynes ◽

Wael Tawfick ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysm Repair ◽

Abdominal Aortic ◽

Internal Iliac ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair

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Long-Term Follow-Up of Men Invited to Participate in a Population-Based Abdominal Aortic Aneurysm Screening Program

Angiology ◽

10.1177/0003319720921741 ◽

2020 ◽

Vol 71 (7) ◽

pp. 641-649

Author(s):

Rebecka Hultgren ◽

K. Miriam Elfström ◽

Daniel Öhman ◽

Anneli Linné

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Screening Program ◽

Dropout Rate ◽

Rupture Rate ◽

Aortic Repair ◽

Abdominal Aortic ◽

Long Term Follow Up

A screening program for abdominal aortic aneurysm (AAA), inviting 65-year-old men, was started in Stockholm in 2010 (2.3 million inhabitants). The aim was to present a long-term follow-up of men participating in screening, as well as AAA repair and ruptures among nonparticipants. Demographics were collected for men with screening detected with AAA 2010 to 2016 (n = 672) and a control group with normal aortas at screening (controls, n = 237). Medical charts and regional Swedvasc (Swedish Vascular registry) data were analyzed for aortic repair for men born 1945 to 1951. Ultrasound maximum aortic diameter (AD) as well as Aortic Size Index (ASI) was recorded. Participation was 78% and prevalence of AAA was 1.2% (n = 672). Aortic repair rates correlated with high ASI and AD. During the study period, 22% of the AAA patients were treated with the elective repair; 35 men in surveillance died (5.2%), non-AAA-related causes (82.9%) dominated, followed by unknown causes among 4 (11.4%), and 2 (5.7%) possibly AAA-related deaths. Abdominal aortic aneurysm rupture rate was higher among nonparticipants (0.096% vs 0.0036%, P < .001). The low dropout rate confirms acceptability of follow-up after screening. The efficacy is shown by the much higher rupture rate among the nonparticipating men.

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