Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Perini, Paolo; Mariani, Erica; Fanelli, Mara; Ucci, Alessandro; Massoni, Claudio Bianchini; Freyrie, Antonio

doi:10.1177/1538574420981812

Cited by 17 publications

(24 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to guidelines, preserving the patency of the internal iliac artery is important whenever possible. 2,3,7 Iliac branch surely represent an option, guaranteeing internal iliac patency, especially for very proximal hypogastric aneurysm or cases where also common or external iliac artery are affected. In contrast, in distal hypogastric aneurysms without common or external iliac arteries affection, iliac branching could be considered an overtreatment.…”

Section: Discussionmentioning

confidence: 99%

“…When an internal iliac artery is aneurysmatic, the contralateral one is often diseased too, resulting aneurysmatic in 11.4% cases and occluded in 11.6%. [1][2][3] Nowadays more IIIAAs are occasionally detected still asymptomatic than in the past, thanks to the widespread use of computed tomography angiography (CTA). Despite this, IIIAAs are frequently large and symptomatic at presentation.…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms are generally generated by its rupture, fistulation or local compression of the genitourinary tract, iliac veins or lumbosacral nerve root. [1][2][3][4][5] The risk of aneurysm rupture is quite high and it has been reported to carry a 58% of death. 5…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A rare case of bilateral isolated internal iliac artery aneurysms excluded with VBX covered stents

2023

View full text Add to dashboard Cite

Objective Isolated aneurysms of the internal iliac arteries (IIIAA) are a rare variant of aorto-iliac aneurysms, representing only 0.3–0.5% of intra-abdominal aneurysms. Bilateral isolated hypogastric artery aneurysms are even more rare. The rarity of IIIAA has determined the absence of a high level of evidence about its treatment. Method We present a case of bilateral isolated internal iliac artery aneurysms treated in two stages by positioning GORE VIABAHN VBX Balloon Expandable Endoprosthesis large, chosen for the possibility to adapt it to the anatomical diameter variations between the hypogastric artery and the posterior trunk, which was the distal landing zone chosen in both sides. Conclusion and results Total patency was detected 1 year after surgery in both sides. No buttock claudication, erectile dysfunction and/or signs of bowel ischaemia were referred. Preserving the hypogastric flow is an important goal in isolated hypogastric arteries aneurysms’ treatment and covered stenting surely represents a valid therapeutical choice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A rare case of bilateral isolated internal iliac artery aneurysms excluded with VBX covered stents

2023

View full text Add to dashboard Cite

show abstract

“…Yang et al reported the largest patient group for isolated IIAA treated by either surgical or endovascular techniques, in which forty-two patients were included (Yang et al 2020 ). A recent systematic review disclosed 202 isolated IIA aneurysms from all publications, reflecting the rarity of this condition (Perini et al 2021 ). Endovascular treatment for isolated IIA aneurysms can be restricted to the IIA if there is sufficient neck length in the proximal IIA to place a vascular plug or coils.…”

Section: Discussionmentioning

confidence: 99%

Outcome of endovascular treatment of internal iliac artery aneurysms: a single center retrospective review

et al. 2022

View full text Add to dashboard Cite

Purpose To evaluate the technical feasibility and clinical outcomes of endovascular treatment for internal iliac artery (IIA) aneurysms. Material and methods This was a retrospective analysis of 25 patients with 32 IIA aneurysms (mean diameter: 39.1 ± 12.6 mm) who underwent endovascular treatment over a 10-year period, and were available for follow-up. Univariate analysis was used to determine the association between variables (including aortoiliac involvement and technique) and outcome. Results The IIA inflow was covered with an iliac stent graft (N = 29) or embolized with a plug (N = 3). The IIA outflow was embolized in all but one case in which there was thrombotic occlusion of outflow branches. Outflow embolization using plugs or coils was performed in the distal IIA or anterior/posterior trunks in 9 cases and distal IIA branches in 22 cases. During a mean follow-up period of 39.9 months, 31.2% of aneurysms demonstrated endoleak and 12.5% demonstrated enlargement. Univariate analysis revealed that endoleak was associated with technical failure (p = 0.01) and that endoleak rate was higher in patients who underwent distal IIA branch embolization (p = 0.03). No variable was associated with sac expansion. Major complication occurred in one patient who died from aneurysm rupture. Minor complications were reported in six patients who developed femoral pseudoaneurysm (N = 2, 8%), buttock claudication (N = 3, 12%), and limb graft occlusion (N = 1, 4%). Conclusion Endovascular treatment of IIA aneurysms effectively prevents sac expansion. Endoleak was more frequently observed in cases of technical failure and those in which distal IIA branches were embolized. Level of Evidence Level 3b, retrospective cohort study.

show abstract

“…However, the risk of distal sealing-related endoleaks makes the use of iliac branch devices (IBDs) for endovascular aneurysm treatment contraindicated in the presence of a hypogastric aneurysm [6]. Since it provides good shortto mid-term results and low early mortality, endovascular therapy is recommended as the preferable way of treatment in the literature [7]. Manufacturers recommend a proximal aortic endograft implantation in the infrarenal aorta in order to ensure effective proximal sealing of the IBDs.…”

Section: Introductionmentioning

confidence: 99%

An Abdominal Aortic Endoprosthesis as an Iliac Branch Device for the Preservation of Common Iliac and Internal Iliac Arteries in a Patient with a Common and Internal Arteries Aneurysm and a Type B Aortic Dissection

César,

David,

Anaya-Ayala

et al. 2022

Int J Endovasc Treat Innov Tech

View full text Add to dashboard Cite

Introduction: An iliac artery aneurysm (IAA) is characterized by an increase in the vessel's diameter of more than 1.5 times that of normal. There are numerous similarities between iliac and aortic aneurysms in terms of their natural histories, risk factors, and key treatment philosophies. Objectives: To report the use of an abdominal aortic endoprosthesis as an iliac branch device in a patient with a type B aortic dissection, multiple comorbidities, and aneurysm of the abdominal aorta and the right common and internal iliac arteries. Methods: Male patient, 58, brought to hospital with type B aortic dissection and other comorbidities. The patient was released after a successful TEVAR procedure in which we implanted 1 thoracic endoprosthesis and 2 thoracic segments. A post-TEVAR CT is taken, and EVAR (endovascular aneurysm repair) planning is completed. In order to do the EVAR surgery, we inserted a covered stent and a 23mmx14mmx18cm abdominal aortic endoprosthesis into the right common iliac artery to act as an iliac branch device. There are no endoleaks in the final aortography. Results: The treatment was successful, and there is no sign of any problems in the control CT and improvement in the patient’s quality of life. Conclusions: An aortic abdominal endoprosthesis can work well as an iliac branch device despite the existence of other iliac branch devices. With adequate preparation, the two-stage operation can enhance the results for patients with type B aortic dissection.

show abstract

Surgical and Endovascular Management of Isolated Internal Iliac Artery Aneurysms: A Systematic Review and Meta-Analysis

Cited by 17 publications

References 51 publications

A rare case of bilateral isolated internal iliac artery aneurysms excluded with VBX covered stents

A rare case of bilateral isolated internal iliac artery aneurysms excluded with VBX covered stents

Outcome of endovascular treatment of internal iliac artery aneurysms: a single center retrospective review

An Abdominal Aortic Endoprosthesis as an Iliac Branch Device for the Preservation of Common Iliac and Internal Iliac Arteries in a Patient with a Common and Internal Arteries Aneurysm and a Type B Aortic Dissection

Contact Info

Product

Resources

About