Results of Repair of Iliac Artery Aneurysms with the Sandwich Technique

Shutze, Ryan; Oglesby, Wes; Lee, Allen; Shutze, William P.

doi:10.1080/08998280.2017.11929512

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…Because of the high risk of PIC after ET, iliac branch grafts were increasingly used for pelvic flow preservation recently and showed good outcomes with high success rate, low pelvic ischemia rate, and long-term patency. [29][30][31] In a recent review, buttock claudication has been reported in 16% to 55% of cases following IIA occlusion while in up to 4% of cases treated with iliac branch grafts at 5-year follow-up. 32 However, it is worth to notice that 2 included studies reported the details of IIA reconstruction which showed that the proportion of IIA preservation during ET and OS was similar, 60% and 42% IIAs were preserved, respectively, in one study, 17 49.2% and 47.5% were preserved in another.…”

Section: Discussionmentioning

confidence: 99%

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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