Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years

  • Onur Selcuk Goksel Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Emre Gok Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Mehmet Akif Onalan Cardiovascular Surgery Department, Mehmet Akif Inan Education And Research Hospital, Sanliurfa, Turkey
  • Koray Güven Radiology Department, Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
  • Gazi Capar Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Bayer Cinar Cardiovascular Surgery Department, Altınbaş University, Istanbul, Turkey
  • Ibrahim Ufuk Alpagut Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

Abstract

Objectives: Isolated iliac artery aneurysms (IAAs) are rare, but nonetheless life-threatening when ruptured. The endovascular approach has taken over open repairs in time. The reported data is constituted of a retrospective series. We reviewed our 10-year-long experience with elective endovascular treatment of iliac aneurysms.

Methods: Data regarding 22 patients with 24 IAAs treated with endovascular stent grafting between 2005 and 2015 were reviewed.

Results: Twenty-two patients (aged 68.4 ± 9.6 years, range 50-82) with 24 unilateral or bilateral iliac aneurysms were treated. Twenty patients (91%) were male. Two patients with unilateral IAA had prior abdominal aortic aneurysm (AAA) surgical repair. The mean aneurysm diameter was 4.8 ± 2.1 (3.8 to 7.1) mm. Procedural success rate was 100%; only one patient with an iliovenous fistula had periprocedural type II endoleak. Internal iliac artery coil occlusion was applied in 16 of 24 procedures (66%). Thirty-day mortality included one patient (4%).

Conclusion: Endovascular repair is the preferred approach for isolated IAAs. Because of the retrospective nature of data sets, larger cohorts are necessary for better definition of morbidity and mortality rates.

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Published
2019-02-25
Section
Articles