Tratamento endovascular de aneurisma isolado bilateral de artéria ilíaca interna

Joviliano, Edwaldo Edner; Vieira, Daniela; Moreira, Letícia da Silva; Casas, André Luís Foroni

doi:10.1590/1677-5449.180115

Cited by 2 publications

(1 citation statement)

References 23 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additional remarkable treatment modalities and techniques which may be found in case reports or small case series are: retrograde trans-gluteal approach for embolization [24][25][26] parallel stent-graft technique for IIIAA exclusion 27,28 deployment of an iliac branch device to exclude the hypogastric aneurysm [29][30][31][32] endovascular exclusion exploiting the distal branches of the hypogastric artery as landing zones 33 Excluded noteworthy papers regarding clinical presentation-besides what we described in our qualitative synthesis-included: ureterohydronephrosis, ureteral rupture or haematuria [34][35][36][37] sciatic pain 38 arteriovenous fistula 39,40 deep venous thrombosis and pulmonary embolism 41 ileus, or bowel obstruction 42,43 aortoenteric fistula 44,45…”

Section: Excluded Noteworthy Case Reportsmentioning

confidence: 99%

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

Perini

Mariani

Fanelli

et al. 2020

Vasc Endovascular Surg

View full text Add to dashboard Cite

Objectives: The purpose of this paper is to report the different modalities for the treatment of isolated internal iliac artery aneurysms (IIIAA), as well as their outcomes. Methods: We performed a systematic review of the literature (database searched: PubMed, Web of Science, Scopus, Cochrane Library; last search: April 2020). We included articles reporting on the outcomes for IIIAA interventions comprising at least 5 patients. Studies were included when presenting extractable outcome data regarding intraoperative and/or early results. We performed meta-analyses of proportions for different outcomes, using random effects model. Results: Thirteen non-randomized studies were included (192 patients with 202 IIIAA). IIIAA were symptomatic in the 18.1% (95%CI 9.3-26.9; I2 54.46%, P = .019). Estimated mean IIIAA diameter was 46.28 mm (95%CI 39.72-52.85; I2 88.85%, P < .001). Open repair was performed in 21/202 cases. Endovascular treatments were: embolization (81/181), embolization and hypogastric artery coverage (79/181), hypogastric artery coverage by stent-grafting (15/181), stent-grafting in the hypogastric artery (6/181). Overall estimated technical success (TS) rate was 91.6% (95% CI 86.8-95.5; I2 45.82%, P = .031). TS rate was 94.5% for open surgery (95%CI 85.3-100; I2 0%, P = .907), and 89.7% for endovascular repair (95%CI 83.8-95.6; I2 55.43%, P = .006). Estimated overall 30-day mortality was 3.1% (95%CI 0.8-5.4; I2 0%, P = .969). Mortality rates after open surgery and endovascular repair were 8.2% (95%CI 3.4-19.8; I2 0%, P = .545) and 2.8% (95%CI 0.5-5.1; I2 0%, P = .994), respectively. Estimated mean follow-up was 32.63 months (95%CI 21.74-43.53; I2 94.45%, P < .001). During this timeframe, IIIAA exclusion was preserved in 92.8% of the patients (95%CI 89.3-96.2; I2 0%, P = .797). Buttock claudication occurred in 13.9% of the patients (95%CI 8.7-19.2; I2 0%, P = .622). Conclusions: IIIAA are frequently large, and symptomatic at presentation. Several treatments are proposed in literature, open and endovascular, both with good results. The endovascular treatment is the preferred method of treatment in literature, since it offers good short- to mid-term results and low early mortality. Buttock claudication after hypogastric artery exclusion is a common complication.

show abstract

Section: Excluded Noteworthy Case Reportsmentioning

confidence: 99%

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

Perini

Mariani

Fanelli

et al. 2020

Vasc Endovascular Surg

View full text Add to dashboard Cite

show abstract

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

Tratamento endovascular de aneurisma isolado bilateral de artéria ilíaca interna

Cited by 2 publications

References 23 publications

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

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

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

Contact Info

Product

Resources

About