Outcomes of endovascular aneurysm repair with selective internal iliac artery coverage without coil embolization

Journal of Vascular Surgery
Konstantinos O PapazoglouMaria Mitka

Abstract

Endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAAs) that also involve the common iliac artery (CIA) typically is accomplished by endograft limb extension into the external iliac artery (EIA). In order to prevent endoleak, the internal iliac artery (IIA) is usually embolized, or alternatively a branched limb is deployed. However, IIA embolization is associated with longer operative time and increased use of contrast and radiation. It has been our practice not to routinely coil embolize the IIA. The purpose of this study was to present the midterm outcomes of this approach. Between April 1997 and June 2010, 137 patients (130 men; mean age, 70.9 years; range, 45-92 years) underwent EVAR of their AAA and had IIA coverage without coil embolization in 112 patients (no embolization [NE] group) and after coil embolization in 25 patients (coil embolization [CE] group). Anatomic indications for coverage of the IIA without coil embolization included presence of adequate sealing in the distal 5 mm of the CIA, or sealing ring at the origin of the CIA, or IIA diameter <5 mm. Preoperative mean AAA size was 60 ± 14 mm, and mean CIA diameter was 38 ± 13 mm. Postoperative computed tomography (CT) scanning was performed at 1,...Continue Reading

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Citations

Dec 27, 2015·Journal of Vascular and Interventional Radiology : JVIR·Mikkel TaudorfLars Lönn
Nov 26, 2015·Irish Journal of Medical Science·J G McGarryM J Lee
Jan 12, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R A StokmansPh W M Cuypers
Oct 29, 2014·La Radiologia medica·Rita FossacecaAlessandro Carriero
Oct 11, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Maria Antonella RuffinoUNKNOWN Italian Cardiatis Registry Investigators Group
Aug 6, 2016·Journal of Vascular Surgery·Spyridon N MylonasUNKNOWN E-liac Collaborative Group
Sep 8, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G N KouvelosE L G Verhoeven
Nov 22, 2014·Vascular·Manfred KalteisHerbert Lugmayr
Mar 9, 2018·Annals of Vascular Diseases·Shunichiro FujiokaHiroshi Osawa
Nov 20, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nikolaos KontopodisChristos V Ioannou
Mar 23, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yannick W 't MannetjeMarc R H M van Sambeek
Apr 6, 2019·Journal of Cardiovascular Medicine·Daniela MazzaccaroGiovanni Nano
May 26, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Wuttichai SaengprakaiFrans L Moll
Feb 6, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Nathan K ItogaJason T Lee
Jan 5, 2018·Cardiovascular and Interventional Radiology·Susanne AntonJan Peter Goltz
Jun 26, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Spyridon N MylonasJan S Brunkwall

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