How safe is internal iliac artery embolisation prior to EVAR? A 10-year retrospective review

McGarry, James G.; Alenezi, Abdullah O.; McGrath, Frank P.; Given, Mark F.; Keeling, Aoife N.; Moneley, Daragh; Leahy, A.; Lee, M. J.

doi:10.1007/s11845-015-1384-4

Cited by 3 publications

(1 citation statement)

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“…Persistent buttock claudication was seen in only 16 % of patients with single internal iliac artery embolization. A shorter time from embolization to EVAR procedure was noted to be a risk factor for developing pelvic ischemia [44]. Surgeon-modified or dedicated iliac artery bifurcation stent grafts can be considered to avoid these complications.…”

Section: N/a Secondary Endograft or Explantmentioning

confidence: 99%

Endovascular Management of Abdominal Aortic Aneurysms: the Year in Review

O’Mara

Bersin

2016

Curr Treat Options Cardio Med

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Endovascular aneurysm repair (EVAR) has become the predominant method of treatment for abdominal aortic aneurysms (AAA). The use of conscious sedation with local anesthesia and percutaneous femoral access has further decreased the morbidity of the procedure. Current devices can more effectively manage increasingly "hostile" aneurysm necks, while chimney grafts or dedicated fenestrated stent-grafts can be used for juxta-renal disease with favorable results. However, endovascular repair does present a new set of challenges, and endoleaks remain an area of concern. While there is general consensus that type I and type III endoleaks require treatment, type II endoleaks are the topic of ongoing research and debate. Development of devices and techniques to prevent and treat endoleak continues to progress. Advances in contrast-enhanced ultrasound are reducing reliance on computed tomography for post-operative monitoring. This is an important step in this population at high risk for the development of kidney failure. Despite these many innovations, further research is needed to optimize the care of patients with AAA.

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Section: N/a Secondary Endograft or Explantmentioning

confidence: 99%