Article

Treatment of internal iliac artery aneurysms: single-centre experience.

Department of General, Visceral, Vascular and Thoracic Surgery, Charité Campus Mitte, Affiliated Hospital of Charité, University of Medicine, Charitéplatz 1, Berlin, Germany.
ANZ Journal of Surgery (impact factor: 1.25). 04/2009; 79(4):258-64. DOI:10.1111/j.1445-2197.2009.04856.x pp.258-64
Source: PubMed

ABSTRACT The aim of the present study was to analyse the short-term results of treatment of internal iliac artery aneurysms (IIAA).
In a prospective single-centre cohort study all patients with IIAA (symptomatic or maximal diameter >/=30 mm) were evaluated for endovascular repair, which included coil embolization of the run-off vessels and coverage of the orifice of the IIAA with a stent graft. Open repair was performed with aneurysm excision or aneurysmorrhaphy. Outcome criteria were technical and clinical success and complications of treatment.
In a period of 40 months 11 patients underwent operation for 12 IIAA. Nine aneurysms were repaired endovascularly and three with open repair. Coil embolization was routinely performed in all cases. At a median follow up of 18 months, technical and clinical success was 100%. Major complications included two early limb thromboses, a contrast-agent-induced nephropathy, and an intraoperative ureteric injury.
Despite the limited number of patients, the present series, with good short-term results, further supports the trend towards endovascular repair of suitable IIAA.

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Keywords

40 months 11 patients
 
cases
 
clinical success
 
Coil embolization
 
complications
 
contrast-agent-induced nephropathy
 
good short-term results
 
included coil embolization
 
internal iliac artery aneurysms
 
intraoperative ureteric injury
 
limited number
 
Major complications
 
Open
 
orifice
 
Outcome criteria
 
prospective single-centre cohort study
 
run-off vessels
 
short-term results
 
symptomatic