Outcome after Interruption or Preservation of Internal Iliac Artery Flow During Endovascular Repair of Abdominal Aorto-iliac Aneurysms

Kouvelos, George; Katsargyris, Αthanasios; Antoniou, George Α.; Oikonomou, Kyriakos; Verhoeven, Eric L.G.

doi:10.1016/j.ejvs.2016.07.081

Cited by 99 publications

(81 citation statements)

References 66 publications

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“…To what extent blood flow to the internal iliac artery can be interrupted on one or both sides by embolization or coiling is controversial. Kouvelos et al [80] found 57 pertinent observational studies. The pooled rate of buttockclaudication30 days afterthe procedure indicated that 36.5% of patients were affected after bilateral and 27.2% after unilateral interruption of the internal iliac artery.…”

Section: Recommendationmentioning

confidence: 99%

Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms

Debus¹,

Heidemann²,

Gross-Fengels

et al. 2018

Gefässchirurgie

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Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms On 3 July 2018, under the leadership of the German Society for Vascular Surgery and Vascular Medicine (DGG), the new S3 guidelines for screening, diagnosis, treatment, and follow-up for abdominal aortic aneurysms (AAA) were adopted by the DGG Executive Board, after unanimous approval by all participating profes

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Section: Recommendationmentioning

confidence: 99%

Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms

Debus¹,

Heidemann²,

Gross-Fengels

et al. 2018

Gefässchirurgie

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“…Большое значение при выборе тактики оперативного лечения больных АИСА следует придавать роли подвздошно-мезентериальных коллатералей в кровоснабжении органов пищеварения, в первую очередь, левого фланга ободочной кишки и органов малого таза [1,2]. У 40-60 % больных имеется униили билатеральное поражение в виде аневризматической трансформации и(или) атерокальциноза исходно проходимых общих подвздошных артерий (ОПА), что диктует необходимость во время 1 Однако, кроме положительной стороны, этот хирургический прием предполагает развитие ряда осложнений.…”

Section: исходное состояние проходимости артерий у исследуемой группыunclassified

Long-Term Results of Reconstruction of the Inferior Mesenteric and Internal Iliac Arteries During Resection of the Aneurysm of the Infrarenal Aortic Segment

Бедров¹,

Moiseev²,

Белозерцева³

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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The OBJECTIVE is to assess the patency of the inferior mesenteric artery and internal iliac arteries in the remote period after resection of the aneurysm of the infrarenal aortic segment. MATERIAL AND METHODS. The study included 33 patients who underwent resection of the abdominal aortic aneurysm with reconstruction of the inferior mesenteric artery and (or) internal iliac arteries from 1998 to 2017. All patients were examined with computed tomography scan with contrast to assess the patency of inferior mesenteric artery and internal iliac arteries. RESULTS. Patients were observed from 0.5 to 15 years. Among 30 patients with inferior mesenteric artery implanted into the prosthesis, 23 (76 %) patients had a passable inferior mesenteric artery and 7 patients had an occluded inferior mesenteric artery. The implanted inferior mesenteric artery maintained its patency for 3 years in 100% of cases, from 3 to 5 years – in 86%, after 5 years and more – in 62%. In one patient who underwent reconstruction of the internal iliac artery, thrombosis of the prosthetic-internal iliac shunt was found out in 1.5 years after the operation, without any clinical manifestations. One patient, underwent the reconstruction of the internal iliac artery, was diagnosed with thrombosis of the prosthetic-internal iliac shunt in 1.5 years after the operation, which was not accompanied by clinical manifestations. CONCLUSION. The high remote patency of the inferior mesenteric artery and internal iliac arteries reconstructed during resection of the aneurysm of the infrarenal aortic segment indicates the need for this procedure in order to prevent ischemic disorders of the digestive organs and pelvis.

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“…The coverage /occlusion of the IIA on one side rarely leads to serious ischemic complications 7 , however the need to occlude the origin of both the IIAs can be associated with higher risk of colon ischemia, buttock claudication, spinal ischemia and erectile dysfunction, although this may not necessarily occur due to rich collateral circulation. Buttock claudication and erectile dysfunction are not rare in these patients and have significant negative impact on the quality of life 8 . Here revascularization of the IIA, at least unilateral, may reduce the above-mentioned ischemic complications 9,10 .…”

Section: Introductionmentioning

confidence: 99%

Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

Drác¹,

Černá²,

Köcher³

et al. 2021

BIOMED PAP

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Aims. The coverage / occlusion of internal iliac artery (IIA) during endovascular treatment of aorto-iliac aneurysms (AIA) can be associated with risk of ischemic complications. To reduce these complications, unilateral or bilateral iliac branch device implantation (IBDI) has been reported. This study aims at evaluating the efficacy of simultaneous unilateral IBDI in the treatment of AIAs and comparing our results with literature. Materials and Methods. From March 2010 to December 2019, 27 patients (25 men, 2 women, range 54-84 years) were treated for aorto-iliac/isolated common iliac aneurysms with simultaneous unilateral revascularization of IIA and surgical / endovascular occlusion of contralateral IIA. 27 iliac-branched devices were implanted in 27 patients. The results including ischemic complications were evaluated and compared with literature. Results. The technical success was 100% with no perioperative mortality and morbidity of 3.7%. Primary internal iliac branch patency at a median follow-up of 52 months (range 1-118 months) was 96.42%. Secondary endoleak was observed in 6 patients (Type 1a [1], Type 1b [1], Type II [4]) and inflammatory complication in 1 patient. The incidence of buttock claudication one year after the procedure was 11.1%. Except for buttock claudication no other ischemic complications occurred. Conclusion. Unilateral flow preservation in the IIA territory using IBDI is associated with a lesser, but a certain risk of ischemic complications. Bilateral IBDI with bilateral flow preservation of IIAs increases the complexity, procedure-/ fluoroscopy times, contrast agent volume and cost, however, may further reduce these ischemic complications.

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Outcome after Interruption or Preservation of Internal Iliac Artery Flow During Endovascular Repair of Abdominal Aorto-iliac Aneurysms

Cited by 99 publications

References 66 publications

Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms

Short version of the S3 guideline on screening, diagnosis, therapy and follow-up of abdominal aortic aneurysms

Long-Term Results of Reconstruction of the Inferior Mesenteric and Internal Iliac Arteries During Resection of the Aneurysm of the Infrarenal Aortic Segment

Is endovascular treatment of aorto-iliac aneurysms with simultaneous unilateral revascularization of internal iliac artery by branched iliac stentgraft sufficient?

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