Endovascular recanalization of iliac thrombosis: A surgical experience

Cardon, Jean-Marie; Cardon, Alain; Joyeux, A; Noblet, D.; Vidal, Vincent; Gauthier, J.

doi:10.1016/0967-2109(95)93965-r

Cited by 2 publications

(3 citation statements)

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“…In a series reported by Calcagno with up to 35 years of follow-up, only one of 206 patients with up to 35 years follow-up went on to develop an iliac aneurysm 14 years after repair of an aortic aneurysm with insertion of a bifur cated graft [24). Embolization with Gianturco coils or pro cedures using endovascular stented veins and prosthetic grafts of internal iliac arterial aneurysms is promising but their exact role remains to be defined (25,26] and (Dorras G, personal communication).…”

Section: Case Reportmentioning

confidence: 99%

Isolated internal iliac artery aneurysm eleven years after tube graft repair of an abdominal aortic aneurysm: Case report and literature review

et al. 1998

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Internal iliac artery (hypogastric) aneurysms are most commonly associated with common iliac or other arterial aneurysms. Isolated internal iliac aneurysms are quite rare and represent about 1/2% of intracorporal aneurysms. The occurrence of an isolated internal iliac artery aneurysm many years after repair of an abdominal aortic aneurysm, and its successful surgical management have not been previously reported. An 84-year-old Caucasian male presented with acute left femoro-popliteal deep vein thrombosis 11 years after repair of an abdominal aortic aneurysm with insertion of a knitted Dacron tube graft. In the course of his workup he was found to have an isolated 5-cm right, hypogastric, arterial aneurysm. After treating the patient for this deep vein thrombosis, the internal iliac artery aneurysm was repaired via a transperitoneal approach, using the technique of obliterative endoaneurysmorrhaphy. The natural history, diagnosis, and options for treatment modalities of isolated internal iliac arterial aneurysms are presented with a review of the literature.

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Section: Case Reportmentioning

confidence: 99%

Isolated internal iliac artery aneurysm eleven years after tube graft repair of an abdominal aortic aneurysm: Case report and literature review

et al. 1998

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“…The use of endoluminal stent grafts is a promising new modality for the treatment of aneurysmal 1,2 and occlusive artery disease. [3][4][5][6][7] The key technical principle involves the delivery and deployment of an endovascular graft (EG) from a point distal from the affected area and utilizing metallic stents to secure the EG at its proximal and distal anastomoses 5 (Figure 1) Initial reports of its technical success and shortterm patency are encouraging, but its long-term efficacy is still to be demonstrated.…”

mentioning

confidence: 99%

“…4,6 Early studies suggest that late failures of these grafts appear to be due to the development of restenosis particularly at the distal anastomotic ends. 2,3,[5][6][7][8][9][10][11] The different ways in which the distal end of the EG is managed have been described. 12 There are reports on the effects of metallic stents on vessel healing characteristics, and comparisons have been made of the histological characteristics at the anastomotic regions of metallic stents versus those of conventional end-to-end or end-to-side suture anastomoses.…”

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confidence: 99%

A Comparison of Distal Endoluminal Graft Fixation Methods: Healing Characteristics of Metallic Stents and the Endoluminal Suture Technique

Quintos,

Ohki,

Veith

2019

Philipp J Surg Spec

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Rationale: Endoluminal grafts (EG) are a promising alternative to conventional open surgical approaches in the treatment of aneurysmal and occlusive arterial diseases. These devices generally employ metallic stents to secure the proximal and distal EG extents. However, the problem of intimal hyperplasia at the distal EG anastomotic ends similarly affect long-term outcomes as in conventional interposition grafting methods. A technique of distal EG anastomosis using handsewn endoluminal sutures is described and its effects on subsequent development of intimal hyperplasia compared with that of metallic endoluminal stents Methods: Ten adult mongrel dogs underwent bilateral common iliac artery endoluminal grafting procedures. On one side, the distal EG anastomosis was anchored with metallic stents while on the contralateral side the distal EG was secured with endoluminal sutures. The grafts were harvested after one month and the intimal characteristics were observed using histopathological methods. Results: Distal EG metallic stents and endoluminal sutures resulted in similar patency rates of 90%. The average time to deploy distal EG metallic stents was 56 seconds, while the average time to secure the distal EG anastomosis using endoluminal sutures was 3 minutes 42 seconds. Metallic stents induced the development of intimal hyperplasia to a degree greater than endoluminal sutures (316 ± 12 μm vs. 245 ± 30 μm, p< 0.05), but did not affect patency. Conclusion: Hand sewn endoluminal suture technique results in a lesser degree of intimal hyperplasia compared with that produced by endoluminal metallic stents, while the patency rates are comparable. Key words: hyperplasia, stents, suture techniques, arterial occlusive disease

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Endovascular recanalization of iliac thrombosis: A surgical experience

Cited by 2 publications

References 0 publications

Isolated internal iliac artery aneurysm eleven years after tube graft repair of an abdominal aortic aneurysm: Case report and literature review

Isolated internal iliac artery aneurysm eleven years after tube graft repair of an abdominal aortic aneurysm: Case report and literature review

A Comparison of Distal Endoluminal Graft Fixation Methods: Healing Characteristics of Metallic Stents and the Endoluminal Suture Technique

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