Internal Iliac Aneurysm Repair Outcomes Using a Modification of the Iliac Branch Graft

Noël-Lamy, Maxime; Jaskolka, Jeffrey D.; Lindsay, Thomas F.; Oreopoulos, George; Tan, Kiat Tsong

doi:10.1016/j.ejvs.2015.05.021

Cited by 29 publications

(13 citation statements)

References 11 publications

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“…21 Extension of the internal iliac branch stent graft into a divisional artery, such as the superior gluteal artery, has been proposed as an option to acquire adequate distal landing zone. 22,23 We have successfully applied this technique with an E-liac IBD; plug or coil embolization was reserved for the other smaller branch to avoid type II endoleak.…”

Section: Discussionmentioning

confidence: 99%

A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries

Mylonas

Rümenapf

Schelzig

et al. 2016

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries

Mylonas

Rümenapf

Schelzig

et al. 2016

Journal of Vascular Surgery

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“…11 Consequently, the published evidence about the performance of IBDs in coexistence of a HA is scarce, including treatment of less than 20 patients. 12,13 The aim of the present study was to analyze the data of a multicenter registry including more than 800 treated patients focusing on the performance of IBDs in the presence of HAs.…”

Section: Introductionmentioning

confidence: 99%

Results of the multicenter pELVIS Registry for isolated common iliac aneurysms treated by the iliac branch device

Fargion

Masciello

Pratesi

et al. 2018

Journal of Vascular Surgery

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“…In fact, treatment of IIA aneurysms with iliac branches extending to the superior gluteal artery has been attempted with satisfactory results, as reported by M. Noel-Lamy et al in a series of 15 patients. 25 Despite effective, these procedures are usually more complex and therefore more prone to complications.…”

Section: -Anatomic Considerationsmentioning

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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Internal Iliac Aneurysm Repair Outcomes Using a Modification of the Iliac Branch Graft

Abstract: Extension of the internal iliac component of IBGs into the SGA for distal seal is feasible and safe in the endovascular treatment of aorto-iliac aneurysms with concomitant IIAs. Long-term results are needed to further validate this technique.

Cited by 29 publications

References 11 publications

A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries

A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries

Results of the multicenter pELVIS Registry for isolated common iliac aneurysms treated by the iliac branch device

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

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