Endograft Exclusion of Residual Common Iliac Artery Aneurysms

Derom, A.; Vermassen, Frank; Ongena, K

doi:10.1177/152660280000700314

Cited by 15 publications

(11 citation statements)

References 9 publications

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“…More novel approaches have also been put forward. Bergamini et al 17 and Derom et al 18 described successful custom EIA-to-HA endograft placement coupled with aortomonoiliac endografting and cross-femoral bypass to maintain pelvic circulation. In another approach, Ha and Calcagno 19 recently presented a technique for occluding the HA origin with a self-expanding nitinol plug.…”

Section: Discussionmentioning

confidence: 99%

Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair

Mell¹,

Tefera²,

Schwarze³

et al. 2006

Journal of Endovascular Therapy

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Section: Discussionmentioning

confidence: 99%

Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair

Mell¹,

Tefera²,

Schwarze³

et al. 2006

Journal of Endovascular Therapy

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“…Even though novel to the endovascular repair of grade IIC abdominal aortic aneurysms, the technique of external iliac artery-to-internal iliac artery endograft is not original. This endovascular method has been reported by Derom et al 16 to repair residual bilateral common iliac artery aneurysms after successful repair of ruptured abdominal aortic aneurysms and aortobifemoral bypass grafting. The patient underwent bilateral external iliac artery-to-internal iliac artery placement of a Hemobahn endograft (W. L. Gore & Associates) via a superficial femoral artery approach with a 12F sheath.…”

Section: Discussionmentioning

confidence: 95%

External iliac artery–to–internal iliac artery endograft: A novel approach to preserve pelvic inflow in aortoiliac stent grafting

BERGAMINI¹,

RACHEL²,

KINNEY³

et al. 2002

Journal of Vascular Surgery

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To describe four patients with abdominal aortic aneurysm and bilateral common iliac artery aneurysms repaired by coil embolization of the ipsilateral internal iliac artery, aortouniiliac endograft extended to the ipsilateral external iliac artery, femorofemoral bypass grafting, and a contralateral external iliac to internal iliac stent graft to preserve pelvic perfusion. Methods: Four patients with multiple risk factors, abdominal aortic aneurysm (mean diameter, 6.6 cm), and bilateral common iliac artery aneurysms were evaluated with contrast-enhanced computed tomography scanning, arteriography, and intravascular ultrasonography. Aortobiiliac endovascular abdominal aortic aneurysm repair was not feasible because of extension of the common iliac artery aneurysms to the iliac bifurcation bilaterally. Results: The abdominal aortic aneurysms were repaired with an aortouniiliac endograft. The ipsilateral common iliac artery aneurysms were treated by coil embolization of the internal iliac artery and extension of the endograft to the external iliac artery. The contralateral common iliac artery aneurysms were excluded by a custom-made stent graft (n = 2) or a commercial stent graft (n = 2) from the external iliac artery to the internal iliac artery, which preserved pelvic inflow via retrograde perfusion from the femorofemoral bypass. Mean length of stay was 3.5 days. One patient had hip claudication. Follow-up (mean 10 months, range 6 to 17) demonstrated exclusion of the abdominal aortic aneurysm and common iliac artery aneurysms with no endoleak and patent external iliac artery-to-internal iliac artery endografts in all patients. Conclusion: Patients with bilateral common iliac artery aneurysms that extend to the iliac bifurcation may be excluded from endovascular abdominal aortic aneurysm repair because of concerns regarding pelvic ischemia after occlusion of both internal iliac arteries. External iliac artery-to-internal iliac artery endografting is a feasible alternative to maintain pelvic perfusion and still allow endograft repair of the abdominal aortic aneurysm in these patients.

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“…Bergamini et al [ 28 ] proposed retrograde endografting from EIA to IIA followed by contralateral hypogastric coil embolization; then, an aortouniliac stent-graft extending to the contralateral EIA is implanted, followed by a FFBP. Similar combined techniques have been performed by Derom et al [ 29 ] and Clarke et al [ 30 ] while we have used the same technique for bilateral CIAAs and for the first time in an aneurismal IIA [ 8 ]; useful tips are the long introducer to overcome iliac angulation and balloon infusion to facilitate IIA catheter advancement [ 8 ]. Leon et al, in order to maintain left IIA perfusion in a patient with a prior bifurcated prosthesis for AAA (with inferior mesenteric artery and right IIA ligated), deployed two overlapping covered stent-grafts, extending from the proximal aneurismal left CIA to the left IIA along with FFBP [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Complex Common and Internal Iliac or Aortoiliac Aneurysms and Current Approach: Individualised Open-Endovascular or Combined Procedures

Kotsis

Louizos

Pappas

et al. 2014

International Journal of Vascular Medicine

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Objective. Bilateral internal iliac artery aneurysms constitute the utmost configuration of infrarenal aortoiliac disease. We detail characteristic aortoiliac disease patterns and reconstructive techniques we have used, along with a visualized decision-making chart and a short review of the literature. Material and Methods. A retrospective, observational study of twelve clinical cases of patients with aortoiliac disease are described. Two patients had a common iliac artery aneurysm and were managed by the application of inversed stent-grafts; another case was repaired by the insertion of a standard bifurcated stent-graft flared in the right common iliac artery and with an iliac branched device in the left iliac arterial axis. Open approach was used in 5 cases and in 4 cases a combination of aortouniliac stent-grafting with femoral-femoral bypass was applied. Results. Technical success was 100%. One endoleak type Ib in a flared iliac limb was observed and corrected by internal iliac embolism and use of an iliac limb stent-graft extension. We report 100% patency rate during 26.3 months of followup. Conclusion. Individualized techniques for the management of isolated iliac or aortoiliac aneurismal desease with special concern in maintaining internal iliac artery perfusion lead to elimination of perioperative complications and long-term durability and patency rates.

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Endograft Exclusion of Residual Common Iliac Artery Aneurysms

Abstract: Successful endovascular treatment of residual CIA aneurysm is possible with flexible stent-grafts.

Cited by 15 publications

References 9 publications

Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair

Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair

External iliac artery–to–internal iliac artery endograft: A novel approach to preserve pelvic inflow in aortoiliac stent grafting

Complex Common and Internal Iliac or Aortoiliac Aneurysms and Current Approach: Individualised Open-Endovascular or Combined Procedures

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