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Feasibility of a branched stent-graft in common iliac artery aneurysms.

Malina, Martin LU ; Dirven, Mark ; Sonesson, Bjorn ; Resch, Timothy ; Dias, Nuno LU orcid and Ivancev, Krassi LU (2006) In Journal of Endovascular Therapy 13(4). p.496-500
Abstract
Purpose: To evaluate the short-term feasibility, efficacy, and safety of a modular bifurcated stent-graft with an internal iliac artery (IIA) side branch for endovascular repair of aortoiliac aneurysms.



Methods: Between 2002 and 2005, 10 male patients (median age 75 years, range 59–83) were treated with a bifurcated stent-graft that included a unilateral side branch for the IIA. The median diameters of the abdominal aortic and common iliac artery (CIA) aneurysms were 56 mm (range 33–80) and 40 mm (range 27–60), respectively. Four patients were treated mainly for the CIA aneurysm. Postoperative endoleaks, patency rate, and vessel morphology were determined with contrast-enhanced computed tomography (CT).

... (More)
Purpose: To evaluate the short-term feasibility, efficacy, and safety of a modular bifurcated stent-graft with an internal iliac artery (IIA) side branch for endovascular repair of aortoiliac aneurysms.



Methods: Between 2002 and 2005, 10 male patients (median age 75 years, range 59–83) were treated with a bifurcated stent-graft that included a unilateral side branch for the IIA. The median diameters of the abdominal aortic and common iliac artery (CIA) aneurysms were 56 mm (range 33–80) and 40 mm (range 27–60), respectively. Four patients were treated mainly for the CIA aneurysm. Postoperative endoleaks, patency rate, and vessel morphology were determined with contrast-enhanced computed tomography (CT).



Results: All endografts were implanted in the desired position. One IIA occluded intraoperatively, and 1 external iliac artery occlusion was noted 6 months postoperatively; both occlusions were asymptomatic and remain untreated. Three graft-related endoleaks were treated with implantation of adjunctive stent-grafts (2 intraoperative and 1 late). Median follow-up by CT was 2 months (1 week to 32 months). One patient died of myocardial infarction 13 days postoperatively; the stent-graft was patent at autopsy.



Conclusion: Stent-grafts with an IIA side branch offer an opportunity to repair aortoiliac aneurysms without sacrificing the IIA. Implantation of the IIA branch is more complex than routine endovascular aneurysm repair and may have contributed to a periprocedural cardiac death. More patients and longer follow-up are needed to verify these data. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
common iliac artery aneurysm, abdominal aortic aneurysm, endovascular repair, stent-graft, internal iliac artery, side-branch graft
in
Journal of Endovascular Therapy
volume
13
issue
4
pages
496 - 500
publisher
International Society of Endovascular Specialists
external identifiers
  • wos:000240165700010
  • scopus:33748850209
ISSN
1545-1550
DOI
10.1583/05-1795R.1
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Medical Radiology Unit (013241410), Emergency medicine/Medicine/Surgery (013240200)
id
9793daa8-cb56-4d89-8052-7aaeaa4978ed (old id 159951)
date added to LUP
2016-04-01 12:17:12
date last changed
2021-02-17 03:46:26
@article{9793daa8-cb56-4d89-8052-7aaeaa4978ed,
  abstract     = {Purpose: To evaluate the short-term feasibility, efficacy, and safety of a modular bifurcated stent-graft with an internal iliac artery (IIA) side branch for endovascular repair of aortoiliac aneurysms.<br/><br>
<br/><br>
Methods: Between 2002 and 2005, 10 male patients (median age 75 years, range 59–83) were treated with a bifurcated stent-graft that included a unilateral side branch for the IIA. The median diameters of the abdominal aortic and common iliac artery (CIA) aneurysms were 56 mm (range 33–80) and 40 mm (range 27–60), respectively. Four patients were treated mainly for the CIA aneurysm. Postoperative endoleaks, patency rate, and vessel morphology were determined with contrast-enhanced computed tomography (CT).<br/><br>
<br/><br>
Results: All endografts were implanted in the desired position. One IIA occluded intraoperatively, and 1 external iliac artery occlusion was noted 6 months postoperatively; both occlusions were asymptomatic and remain untreated. Three graft-related endoleaks were treated with implantation of adjunctive stent-grafts (2 intraoperative and 1 late). Median follow-up by CT was 2 months (1 week to 32 months). One patient died of myocardial infarction 13 days postoperatively; the stent-graft was patent at autopsy.<br/><br>
<br/><br>
Conclusion: Stent-grafts with an IIA side branch offer an opportunity to repair aortoiliac aneurysms without sacrificing the IIA. Implantation of the IIA branch is more complex than routine endovascular aneurysm repair and may have contributed to a periprocedural cardiac death. More patients and longer follow-up are needed to verify these data.},
  author       = {Malina, Martin and Dirven, Mark and Sonesson, Bjorn and Resch, Timothy and Dias, Nuno and Ivancev, Krassi},
  issn         = {1545-1550},
  language     = {eng},
  number       = {4},
  pages        = {496--500},
  publisher    = {International Society of Endovascular Specialists},
  series       = {Journal of Endovascular Therapy},
  title        = {Feasibility of a branched stent-graft in common iliac artery aneurysms.},
  url          = {http://dx.doi.org/10.1583/05-1795R.1},
  doi          = {10.1583/05-1795R.1},
  volume       = {13},
  year         = {2006},
}