A Meta-analysis of Comparative Outcome and Cost-Effectiveness of Internal Iliac Artery Embolization with Vascular Plug Versus Coil

Wong, Karen; Johnson, Paige; Newsome, Janice; Bercu, Zachary L.; Findeiss, Laura; Dariushnia, Sean R.; Rajani, Ravi R.; Kokabi, Nima

doi:10.1007/s00270-020-02425-5

Cited by 8 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a meta-analysis study by Wong et al, which included 181 patients, the outcomes and cost-effectiveness of internal iliac artery embolization using vascular plugs versus coiling were compared. They demonstrated that vascular plugs were superior to coiling in terms of shorter intervention and fluoroscopy times, resulting in reduced radiation exposure, as well as the total cost of the intervention [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Successful Hybrid Approach Treatment of a Large Persistent Sciatic Artery Aneurysm—A Case Report

Cvetic,

Miletic,

Lukic

et al. 2023

Medicina

View full text Add to dashboard Cite

Background and Objectives: Persistent sciatic artery (PSA) is a rare congenital vascular anomaly that is often asymptomatic, but can be associated with aneurysm formation and potential complications, such as thromboembolism or aneurysm rupture in some cases. We present a case of a 75-year-old woman with a symptomatic thrombus-containing aneurysm of the left PSA. Materials and Methods: The treatment of the PSA aneurysm involved a successful hybrid approach, which included open surgical bypass and endovascular embolization. The open surgical bypass was performed from the left common femoral artery to the left above-the-knee popliteal artery using a synthetic graft, while the aneurysm exclusion was achieved through endovascular plug embolization. Results: Control angiography revealed complete exclusion of the PSA aneurysm. At the 1-month follow-up, there were no palpable pulsatile masses in the left gluteal region, and the patient reported no symptoms. Conclusions: Given the high incidence of limb- and life-threatening complications associated with a PSA aneurysm, accurate diagnosis and appropriate treatment are crucial. In this case, a combination of open surgical and endovascular techniques resulted in a favorable outcome for the patient, highlighting the effectiveness of the hybrid approach in managing PSA aneurysms. Further studies are warranted to explore and refine treatment strategies for these complex vascular anomalies.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful Hybrid Approach Treatment of a Large Persistent Sciatic Artery Aneurysm—A Case Report

Cvetic,

Miletic,

Lukic

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…The main objective of this study was to determine the actual feasibility of embolization of the IIA and to consider the presence of EL as a yardstick. Different mechanical devices [2,[11][12][13][14] or embolic agents [8,15,16] were previously described in IIAs embolization. Our results showed that 87.75% of patients could undergo the embolization of IIA without showing EL in fluoroscopy at the end of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Internal Iliac Artery Embolization within EVAR Procedure: Safety, Feasibility, and Outcome

Fontana

Coppola

Ferrario

et al. 2022

JCM

View full text Add to dashboard Cite

Background: This study is focused on Internal Iliac Artery (IIA) embolization in patients undergoing Endovascular Aneurysm Repair (EVAR). Our aims were: to establish the feasibility of the procedure; to assess the presence of endoleak (EL) and increase in the size of the sac at follow-up; to define the need for reintervention; and to evaluate mortality rate. Methods: In this retrospective single-center study, EVAR-treated patients with an embolization of IIA were chosen. Coils and vascular plug were used as embolizing agents. Results: A total of 49 participants were enrolled in the study (48 men and one woman) with a median age of 76 ± 12 years. Patients had no early EL in 87.75% of cases, 8.16% had type 1a EL, 2.04% type 1b EL, and 2.04% type 2 EL, with a comprehensive technical success of 95.91%. In the follow-up, at 1 month 72.22% remained without EL, at 6 months 70.97%, and at 1 year 81.48%. In the same period, the trend of type 1 EL was 5.56% (1 month), 3.23% (6 months), and 0% (1 year). For EL type 2: 22.22% at 1 month, 25.81% at 6 months, and 16.7% at 1 year. The overall mortality was 35.58% and the re-intervention rate was 16.33%. Conclusions: IIA embolization is a feasible and safe procedure. The presence of EL is not superior to EVAR procedures that do not involve embolization.

show abstract

“…In the case of non-aneurysmal IIA, the authors suggest performing occlusion with a plug at its origin, thus preserving its distal branches and pelvic collateral circulation. In this setting, plugs seem to be safer than coils in achieving complete occlusion with lower rates of complications as it has been reported that plugs have lower rates of buttock claudication and erectile dysfunction [50,51]. When the sealing zone length is scarce, a short plug such as the AVP should be preferred to a longer plug such as the AVPII, which is chosen in cases of normal length [52].…”

Section: Internal Iliac Artery (Iia)mentioning

confidence: 99%

Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair

Melloni,

D’Oria,

Dioni

et al. 2024

JCM

View full text Add to dashboard Cite

Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible applications during complex endovascular aortic procedures are aortic branch embolization to prevent endoleak or to gain an adequate landing zone, directional branch occlusion, and false lumen embolization in aortic dissection. Plugs are delivered through catheters or introducers, and their technical and clinical results are comparable to those of coil embolization. Plugs are more accurate than coils as repositionable devices, less prone to migration, and have fewer blooming artifacts on postoperative computed tomography imaging. Their main drawback is the need for larger delivery systems. This narrative review describes up-to-date techniques and technology for plug embolization in complex aortic repair.

show abstract

A Meta-analysis of Comparative Outcome and Cost-Effectiveness of Internal Iliac Artery Embolization with Vascular Plug Versus Coil

Cited by 8 publications

References 21 publications

Successful Hybrid Approach Treatment of a Large Persistent Sciatic Artery Aneurysm—A Case Report

Successful Hybrid Approach Treatment of a Large Persistent Sciatic Artery Aneurysm—A Case Report

Internal Iliac Artery Embolization within EVAR Procedure: Safety, Feasibility, and Outcome

Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair

Contact Info

Product

Resources

About