Open Versus Endovascular Repair of Isolated Iliac Artery Aneurysms

Zhorzel, Sven; Busch, Albert; Trenner, Matthias; Reutersberg, Benedikt; Salvermoser, Michael; Eckstein, Hans‐Henning; Zimmermann, Alexander

doi:10.1177/1538574418798418

Cited by 12 publications

(27 citation statements)

References 43 publications

(67 reference statements)

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“…Wound complications were reported in 4 studies including wound infection and healing disorder. 14,15,17,18 The pooled meta-analysis showed no difference between groups in wound complications (OR: 0.52, 95% CI: 0.20-1.36; Figure 4).…”

Section: Resultsmentioning

confidence: 96%

“…Postoperative ischemic complications were defined as ischemic symptoms that related to the procedure, such as buttock claudication, bowel ischemia, and erectile dysfunction. Five of the included studies reported the outcome of PICs, 10,14,15,17,18 none of them reported a significant difference between groups. However, the pooled forest plots showed that compared with OS, ET was associated with a higher risk of PICs (OR: 3.24, 95% CI: 1.05-10.02; Figure 3).…”

Section: Resultsmentioning

confidence: 99%

“…Blood transfusions were reported in 5 included studies 10,14,15,17,18 and barely needed in ET. The pooled forest plots showed ET was associated with a lower risk of blood transfusion (OR: 0.22, 95% CI: 0.08-0.58; Figure 5).…”

Section: Resultsmentioning

confidence: 99%

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Endovascular Treatment Versus Open Surgery for Isolated Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Xiang

Chen

Zhao

et al. 2019

Vasc Endovascular Surg

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Objective: The aim of this review was to compare the outcomes of endovascular treatment (ET) versus open surgery (OS) for patients with isolated iliac artery aneurysms (IIAAs). Methods: Studies that reported ET and OS for IIAAs were searched in databases until December 5, 2018. Studies were included for reporting both ET and OS for patients with IIAAs, and at least one of the following outcomes: postoperative mortality, postoperative ischemic complications (PIC), wound complications, blood transfusion, and length of hospital stay (LHS). We adopted Inverse Variance method to calculate the mean difference (MD) of LHS, and adopted Mantel–Haenszel method for odds ratios (ORs) of postoperative mortality, PICs, wound complications, and blood transfusion. Results: Nine studies were included, and all of them were observational studies, 7 studies were available for meta-analysis. When compared with OS, ET was associated with a higher risk of PICs (OR: 3.24, 95% confidence interval [CI]: 1.05-10.02), a lower risk of blood transfusion (OR: 0.22, 95% CI: 0.08-0.58), and a much shorter LHS (MD: −4.39, 95% CI: −6.18 to −2.60). The postoperative mortality and wound complication were similar between groups. Conclusion: Both ET and OS were safe and effective methods to repair IIAAs with similar postoperative mortality. Compared with OS, ET can reduce the need for transfusion and the time of LHS, but it was associated with a higher risk of PICs. The comparisons of primary patency and reintervention rates were still unclear between the 2 groups.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

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Endovascular Treatment Versus Open Surgery for Isolated Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Xiang

Chen

Zhao

et al. 2019

Vasc Endovascular Surg

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“…11 However, OR demonstrated comparable 1-and 5-year overall mortality with significantly higher freedom from reintervention than ER. 12 However, it may be possible that decreasing exposure to open aortoiliac surgery both in training and in practice may have an impact on a vascular surgeon's willingness to offer OR when ER options exist. 13 Thus, healthy patients with longer life expectancy would benefit from OR, free from an intensive lifelong surveillance program.…”

Section: Discussionmentioning

confidence: 99%

A Hybrid Internal Iliac Artery Reconstruction for Open Common Iliac Artery Aneurysm Repair

Seligson

Lim

Ambur

et al. 2020

Vasc Endovascular Surg

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Common iliac artery (CIA) aneurysms present across a spectrum of anatomic variants that can pose unique operative challenges. A wide variety of procedural approaches have been described in the literature with current therapeutic options including both open and endovascular repair. These techniques may involve either ligation or embolization of the internal iliac artery (IIA) with reliance on collateralized blood flow to the pelvis to mitigate postoperative complications. However, preservation of the IIA is often preferred. This case report describes a hybrid surgical approach for treating CIA aneurysms while preserving IIA perfusion. Our technique mitigates the risks of hypogastric artery dissection (including hypogastric vein injury) in the presence of a large CIA aneurysm.

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“…However, it has been reported that aneurysms located deep in the pelvic cavity are very difficult to treat surgically, and the operations to do so have high mortality rates . In the other hand, it has reported that isolated iliac artery aneurysm can be can be safely and effectively treated by open repair or endovascular repair . Moreover, if rupture has occurred, the urgency of the patient's condition, their hemodynamics, and the presence of retroperitoneal hematoma can further complicate the open procedure.…”

Section: Discussionmentioning

confidence: 99%

Successful endovascular repair of a ruptured isolated iliac artery aneurysm: A case report

Kimura¹,

Ookubo²,

Kobayashi³

et al. 2019

Clinical Case Reports

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Open Versus Endovascular Repair of Isolated Iliac Artery Aneurysms

Abstract: Iliac artery aneurysmss can be safely and effectively treated by EVIR or OIR regarding 30-day morbidity, mortality, and long-term survival, although freedom from reintervention is significantly lower after EVIR.

Cited by 12 publications

References 43 publications

Endovascular Treatment Versus Open Surgery for Isolated Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Endovascular Treatment Versus Open Surgery for Isolated Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

A Hybrid Internal Iliac Artery Reconstruction for Open Common Iliac Artery Aneurysm Repair

Successful endovascular repair of a ruptured isolated iliac artery aneurysm: A case report

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