Isolated Common Iliac Artery Aneurysms Treated Solely With Iliac Branch Stent-Grafts: Midterm Results of a Multicenter Registry

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Alessia GiaquintaIliac Branch Stent-Graft Italian Trial Collaborators

Abstract

To assess early and midterm outcomes of iliac branch device (IBD) implantation without an aortic stent-graft for the treatment of isolated common iliac artery aneurysm (CIAA). From December 2006 to June 2016, 49 isolated CIAAs in 46 patients were treated solely with an IBD at 7 vascular centers. Five patients were lost to follow-up, leaving 41 male patients (mean age 72.5±7.8 years) for analysis. Mean CIAA diameter was 39.1±10.5 mm (range 25-65). Thirty-two patients (2 with bilateral CIAAs) were treated with a Cook Zenith iliac branch device; 9 patients (1 bilateral) received a Gore Excluder iliac branch endoprosthesis. Primary endpoints were technical success, survival, aneurysm exclusion, device patency, and freedom from reintervention at 1 and 5 years. Freedom from major adverse events and aneurysm shrinkage at 1 year were also assessed. Thirty-day mortality and the IBD occlusion rate were 2.4% and 2.3%, respectively. At a mean follow-up of 40.2±33.9 months, no patient presented buttock claudication, erectile dysfunction, or bowel or spinal cord ischemia. Three patients died within 6 months after the procedure. Estimates of cumulative survival, device patency, and freedom from reintervention were 90.2%, 95.2%, and 95.7%, res...Continue Reading

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Citations

Dec 1, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mario D'OriaFilippo Griselli
Mar 13, 2019·Cardiovascular and Interventional Radiology·Mario D'OriaSandro Lepidi
Feb 19, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mario D'OriaRandall R DeMartino
Nov 30, 2019·International Angiology : a Journal of the International Union of Angiology·José Oliveira-PintoArmando Mansilha
Jul 21, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·S Keisin WangAlan P Sawchuk

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