Initial Experience in the Treatment of Extensive Iliac Artery Aneurysms With the Nellix Aneurysm Sealing System

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Marwan YoussefChristian F Vahl

Abstract

To assess the feasibility and effectiveness of the Nellix prosthesis in the treatment of common iliac artery aneurysms. Between May 2013 and June 2015, 230 patients underwent implantation of the Nellix device at 2 institutions. Fifty of these patients (mean age 76 years; 35 men) were identified as having 60 common iliac artery aneurysms (CIAAs) with a median diameter of 4 cm (range 3.5-7). The majority of patients had aortoiliac aneurysms (5, 70%), 10 (20%) had isolated CIAAs, and 5 (10%) had iliac anastomotic aneurysms after aortoiliac bypass. In 20 patients, the iliac aneurysm was the indication for the intervention; in the other 30 patients, the endovascular iliac repair was an adjunct procedure to endovascular aneurysm sealing (EVAS). An iliac branch device (IBD) was used when feasible to preserve flow to the internal iliac artery. Seventeen (34%) patients underwent elective implantation of the Nellix graft in combination with an IBD, 33 (66%) patients underwent Nellix sealing of the CIAA using 1 (n=5), 2 (n=22), or 3 Nellix grafts (2 bilateral grafts and 1 graft as an extension to the external iliac artery in 6 patients). The technical success rate was 100%, and no graft-related complications were reported postoperatively....Continue Reading

References

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Citations

Jul 5, 2016·Current Treatment Options in Cardiovascular Medicine·John E O'Mara, Robert M Bersin
Aug 28, 2016·British Journal of Anaesthesia·S W K Cheng
Nov 20, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Bernhard DorweilerMarwan Youssef
Jul 6, 2017·Expert Review of Medical Devices·Ç ÜnlüJ P P M de Vries
Jul 12, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Johannes T BoersenMichel M P J Reijnen
Nov 1, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Francesco TorellaRobert K Fisher
Dec 16, 2017·Journal of Vascular Surgery·Bruno GossettiUNKNOWN IRENE Group Investigators

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Software Mentioned

Aquarius
Nellix

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