Endovascular Treatment of Abdominal Aortic Aneurysms Involving Iliac Bifurcation: Role of Iliac Branch Graft Device in Prevention of Buttock Claudication

Fernández-Alonso, Leopoldo; Fernández-Alonso, S.; Grijalba, F. Urtasun; Fariña, Estéfana Santamarta; Aguilar, Esther Martínez; Solé, Jorge Francisco Alegret; Pascual, Margarita Atienza; Centeno, R Jaen

doi:10.1016/j.avsg.2012.08.012

Cited by 18 publications

(14 citation statements)

References 28 publications

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“…This technology was born by adapting a small bifurcated body of a standard endograft to fit in a CIA, using a covered stent as bridge between the contralateral gate and a suitable distal neck inside the main trunk of the HA to preserve blood flow to the pelvis while providing a safer distal landing zone in the EIA (Fig. 8.7) [37,50]. Iliac branch devices (IBDs) are one of the most popular options when anatomically feasible [3] (Fig.…”

Section: Endovascular Repairmentioning

confidence: 99%

Hypogastric Artery Management During Open and Endovascular Aortoiliac Repair

Fargion

Pratesi

Masciello

et al. 2019

Visceral Vessels and Aortic Repair

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Section: Endovascular Repairmentioning

confidence: 99%

Hypogastric Artery Management During Open and Endovascular Aortoiliac Repair

Fargion

Pratesi

Masciello

et al. 2019

Visceral Vessels and Aortic Repair

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“…However, even proximal IIA embolization can be associated with buttock claudication, and the utility of IIA embolization in the prevention of type II endoleaks has been questioned, with recent studies favoring placing bifurcated iliac stents to preserve flow into the IIA. [32][33][34] The AVP can also be used to treat internal iliac aneurysms by placing the plug proximal and distal to the aneurysm. It can also be used in the endovascular occlusion of common iliac aneurysms by combining it with a femoro-femoral bypass.…”

Section: Embolization Of Aortoiliac Segmentsmentioning

confidence: 99%

The Amplatzer Vascular Plug: Review of Evolution and Current Applications

Lopera

2015

Semin intervent Radiol

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The Amplatzer Vascular Plug (AVP) was created for peripheral embolization as a modification of the family of Amplatz septal occluders used in the treatment of congenital heart malformations. The device has evolved over the years and multiple versions have been launched into the market. Each of the versions of the device has some important modifications in terms of the size of the introducer's system, number of layers, and resultant thrombogenicity. It is very important for the operator to become familiar with the unique features of the AVP, and to understand the advantages and limitations of each model in the AVP family to achieve an optimal embolic result. The purpose of this article is to review the evolution and current clinical applications of the AVP in the field of interventional radiology, with emphasis on the advantages and limitations of this device in comparison with other embolization agents.

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“…6 In fact, in order to achieve proper aneurysm exclusion through EVAR, appropriate seal, both proximal and distal, is necessary, and although instructions for use (IFU's) differ depending on the manufacturer, minimum landing zones of 10-15mm are consensual. Since approximately 20% of AAA's extend to the iliac bifurcation 7 and uni or bilateral iliac aneurysms may exist in up to 40% of AAA's, 8,9 these conditions are frequently difficult to obtain.…”

Section: Introductionmentioning

confidence: 99%

Internal iliac artery preservation strategies in the endovascular treatment of aortoiliac aneurysms

Robalo¹,

Sousa²,

Mansilha³

2018

Int Angiol

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INTRODUCTION: Common iliac aneurysms are present in up to 40% of abdominal aortic aneurysms and frequently impair distal landing zones for endovascular aneurysm repair. Several techniques have been developed in order to overcome these issues, with different applications and conflicting results. Although long-term outcomes of hypogastric exclusion are favorable, the risks of pelvic ischemia and morbidity rates are high. We aim to review current hypogastric preservation strategies used in the endovascular treatment of aortoiliac aneurysms. EVIDENCE ACQUISITION: A thorough non-systematic review of the literature was conducted using PubMed/Medline. Forty-five articles were included, according to their scientific relevance and relation with the subject. EVIDENCE SYNTHESIS: The bell-bottom technique can be used in common iliac arteries with up to 24mm of diameter. Although apparently effective in the short-term, long-term durability is questionable with reported type 1b endoleak rates varying from 3,4-7,8% and high re-intervention rates reported. Iliac branches have better long-term outcomes, with 90,4% patency rates and 91,8% freedom from re-intervention at 10 years' follow-up. Nonetheless, its widespread application is limited by complex anatomies and increased costs. Finally, parallel-graft techniques are an effective option for hostile anatomies unsuitable for other techniques. Endoleak due to gutter development remains the biggest limitation for its long-term durability and solid evidence regarding its application is still lacking. CONCLUSIONS: When determining the appropriate hypogastric preservation strategy, several factors should be considered. Anatomic criteria, life-expectancy as well as physical and sexual activity are the most important criteria. Procedure complexity and cost should also be accounted for.

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Endovascular Treatment of Abdominal Aortic Aneurysms Involving Iliac Bifurcation: Role of Iliac Branch Graft Device in Prevention of Buttock Claudication

Cited by 18 publications

References 28 publications

Hypogastric Artery Management During Open and Endovascular Aortoiliac Repair

Hypogastric Artery Management During Open and Endovascular Aortoiliac Repair

The Amplatzer Vascular Plug: Review of Evolution and Current Applications

Internal iliac artery preservation strategies in the endovascular treatment of aortoiliac aneurysms

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