Endovascular therapeutic options for the treatment of aortoiliac aneurysms

ABSTRACT About 20% of patients with abdominal aortic aneurysms have associated iliac aneurysms. Distal sealing during the endovascular treatment of aortic-iliac aneurysms is a challenge that has led to the emergence of several technical options to achieve this goal over the years. Internal iliac artery embolization is associated with the risk of ischemic complications, such as gluteal necrosis, lower limb neurological deficit, colonic ischemia, impotence and gluteal claudication. This article summarizes the technical options for endovascular treatment of aortoiliac aneurysms with different approaches to preserving the patency of internal iliac arteries.

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Internal Iliac Artery Embolization Before Endovascular Repair of Abdominal Aortic Aneurysms

American Journal of Roentgenology ◽

10.2214/ajr.177.3.1770599 ◽

2001 ◽

Vol 177 (3) ◽

pp. 599-605 ◽

Cited By ~ 76

Author(s):

Maria Schoder ◽

Luise Zaunbauer ◽

Thomas Hölzenbein ◽

Dominik Fleischmann ◽

Manfred Cejna ◽

...

Keyword(s):

Iliac Artery ◽

Endovascular Repair ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Artery Embolization ◽

Abdominal Aortic ◽

Internal Iliac ◽

Internal Iliac Artery Embolization

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Neurologic Injury after Endovascular StentGraft and Bilateral Internal Iliac Artery Embolization for Infrarenal Abdominal Aortic Aneurysm

Journal of Vascular and Interventional Radiology ◽

10.1016/s1051-0443(07)61450-x ◽

2001 ◽

Vol 12 (6) ◽

pp. 761-763 ◽

Cited By ~ 25

Author(s):

Philip Chong-hei Kwok ◽

Tsz Kwong Chung ◽

Lap Chun Chong ◽

Susan Chi-hum Chan ◽

Wong Kan Wong ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Neurologic Injury ◽

Artery Embolization ◽

Infrarenal Abdominal Aortic Aneurysm ◽

Abdominal Aortic ◽

Internal Iliac ◽

Internal Iliac Artery Embolization

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Gluteal compartment syndrome following elective unilateral internal iliac artery embolization before endovascular abdominal aortic aneurysm repair

Journal of Vascular Surgery ◽

10.1016/j.jvs.2003.09.020 ◽

2004 ◽

Vol 39 (3) ◽

pp. 672-675 ◽

Cited By ~ 39

Author(s):

William T Su ◽

David H Stone ◽

Patrick J Lamparello ◽

Caron B Rockman

Keyword(s):

Abdominal Aortic Aneurysm ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysm Repair ◽

Artery Embolization ◽

Abdominal Aortic ◽

Internal Iliac ◽

Gluteal Compartment Syndrome ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair ◽

Internal Iliac Artery Embolization

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Preloading Coil in Plug Technique for Internal Iliac Artery Embolization During Endovascular Abdominal Aortic Aneurysm Repair

CardioVascular and Interventional Radiology ◽

10.1007/s00270-020-02653-9 ◽

2020 ◽

Vol 44 (1) ◽

pp. 179-181

Author(s):

Takaaki Maruhashi ◽

Hiroshi Nishimaki ◽

Yukihisa Ogawa ◽

Kiyoshi Chiba ◽

Akiyuki Kotoku ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Internal Iliac Artery ◽

Abdominal Aortic Aneurysm Repair ◽

Artery Embolization ◽

Abdominal Aortic ◽

Internal Iliac ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair ◽

Internal Iliac Artery Embolization

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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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Paresis following internal iliac artery embolization.

Radiology ◽

10.1148/radiology.146.1.6849068 ◽

1983 ◽

Vol 146 (1) ◽

pp. 47-51 ◽

Cited By ~ 107

Author(s):

W S Hare ◽

C J Holland

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Embolization ◽

Internal Iliac ◽

Internal Iliac Artery Embolization

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Effect of Internal Iliac Artery Embolization Combined With Arterial Infusion Chemotherapy On Serum VEGF, HGF and IL-6 in Advanced Cervical Cancer

Tobacco Regulatory Science ◽

10.18001/trs.7.4.1.6 ◽

2021 ◽

Vol 7 (4) ◽

pp. 538-545

Author(s):

Xiaoru Li ◽

Yan Zhao ◽

Tao Yu

Keyword(s):

Cervical Cancer ◽

Internal Iliac Artery ◽

Observation Group ◽

Advanced Cervical Cancer ◽

Artery Embolization ◽

Arterial Infusion ◽

Arterial Infusion Chemotherapy ◽

Infusion Chemotherapy ◽

Internal Iliac ◽

Internal Iliac Artery Embolization

This study aimed to investigate the effect of internal iliac artery embolization combined with arterial infusion chemotherapy on serum VEGF, HGF and IL-6 in advanced cervical cancer. A total of 120 cases of patients with advanced cervical cancer and admitted to Binzhou Center Hospital from January 2014 to March 2016 were selected as research subjects. Among them, 59 patients received arterial infusion chemotherapy were enrolled in the control group, and 61 patients received arterial infusion chemotherapy combined with internal iliac artery embolization were included in the observation group. Treatment efficacy, serum VEGF, HGF and IL-6 expression, KPS score and QOL score, incidence of adverse reactions and 3-year survival rate of the two groups were recorded and compared. The result showed that the therapeutic effect of the observation group was significantly higher than that of the control group (P<0.05). The expression of serum VEGF, HGF and IL-6, KPS score and QOL score in the two groups were significantly improved after treatment, with more significant improvement in the observation group (P<0.05). There were no significant differences in the incidence of adverse reactions between the two groups (P>0.05). And the 3-year survival rate of the observation group was significantly higher than that of the control group (P<0.05). In conclusion, arterial infusion chemotherapy combined with internal iliac artery embolization has a better effect than arterial infusion chemotherapy alone in treating patients with advanced cervical cancer. It can effectively prolong the survival of patients, along with good safety, which is worthy of clinical promotion

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