Effectiveness of Embolization of Internal Iliac Artery during Endovascular Aneurysm Repair / 대한혈관외과학회지
Journal of the Korean Society for Vascular Surgery
; : 151-155, 2011.
Article
en Ko
| WPRIM
| ID: wpr-726650
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Embolization of the internal iliac artery (IIA) is frequently required during endovascular aneurysm repair (EVAR) because of a concurrent common iliac artery aneurysm, a short common iliac artery, or deployment of aortouni-iliac devices. This study was conducted to evaluate the effectiveness of IIA embolization during EVAR. METHODS: A retrospective study was performed in patients undergoing EVAR and IIA embolization from December 2005 to March 2011 from a prospectively registered database of patients with aneurysms. Patient clinical characteristics, procedures, and follow up data were collected and analyzed. RESULTS: Eighteen patients (33.3%) required IIA embolization among 54 EVARs. The mean age was 73.5 years, and 17 patients were male. Indications were a common iliac artery aneurysm (11/18), short iliac artery (3/18), thrombosed common iliac artery (1/18), arteriovenous malformation (1/18), and deployment of aortouniiliac artery devices (1/18). One mortality occurred in a patient with a ruptured abdominal aortic aneurysm. No type I endoleaks were observed. IIA embolization was achieved with conventional coils (7/18), a vascular plug (6/18), and detachable coils (5/18). After EVAR, there were two cases of ileus, a limb occlusion that required additional stenting in the external iliac artery, a type II endoleak, and two cases of buttock claudication. CONCLUSION: IIA embolization during EVAR is effective to prevent a type II endoleak with minor morbidities.
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Índice:
WPRIM
Asunto principal:
Arterias
/
Malformaciones Arteriovenosas
/
Nalgas
/
Stents
/
Estudios Prospectivos
/
Estudios Retrospectivos
/
Estudios de Seguimiento
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Aneurisma de la Aorta Abdominal
/
Ileus
/
Extremidades
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Journal of the Korean Society for Vascular Surgery
Año:
2011
Tipo del documento:
Article