Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years
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.
Boules TN, Selzer F, Stanziale SF, et al. 2006. Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 44:29-37.
Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE. 1989. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg 10:381-4.
Buck DB, Bensley RP, Darling J, et al. 2015. The effect of endovascular treatment on isolated iliac artery aneurysm treatment and mortality. J Vasc Surg 62:331-5.
Chaer RA, Barbato JE, Lin SC, Zenati M, Kent KC, McKinsey JF. 2008. Isolated iliac artery aneurysms: a contemporary comparison of endovascular and open repair. J Vasc Surg 47:708-13.
Giles KA, Pomposelli F, Hamdan A, Wyers M, Jhaveri A, Schermerhorn ML. 2009. Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair. J Vasc Surg 49:543-50; discussion and invited commentary 550-1.
Huang Y, Gloviczki P, Duncan AA, et al. 2008. Common iliac artery aneurysm: expansion rate and results of open surgical and endovascular repair. J Vasc Surg 47:1203-1211.e2.
Katz DJ, Stanley JC, Zelenock GB. 1994. Operative mortality rates for intact and ruptured abdominal aortic aneurysms in Michigan: an eleven-year statewide experience. J Vasc Surg 19:804-15; discussion 816-7.
Krupski WC, Selzman CH, Floridia R, Strecker PK, Nehler MR, Whitehill TA. 1998. Contemporary management of isolated iliac aneurysms. J Vasc Surg 28:1-11; discussion 11-3.
Levi N, Schroeder TV. 1998. Isolated iliac artery aneurysms. Eur J Vasc Endovasc Surg 16:342-4.
McCready RA, Pairolero PC, Gilmore JC, Kazimer FJ, Cherry KJ Jr, Hollier LH. 1983. Isolated iliac artery aneurysms. Surgery 93:688-93.
Patel NV, Long GW, Cheema ZF, Rimar K, Brown OW, Shanley CJ. 2009. Open vs. endovascular repair of isolated iliac artery aneurysms: a 12-year experience. J Vasc Surg 49:1147-53.
Pitoulias GA, Donas KP, Schulte S, Horsch S, Papadimitriou DK. 2007. Isolated iliac artery aneurysms: endovascular versus open elective repair. J Vasc Surg 46:648-54.
Richardson JW, Greenfield LJ. 1988. Natural history and management of iliac aneurysms. J Vasc Surg 8:165-71.
Santilli SM, Wernsing SE, Lee ES. 2000. Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg 31(1 Pt 1):114-21.
Author Disclosure & Copyright Transfer Agreement
In order to publish the original work of another person(s), The Heart Surgery Forum® must receive an acknowledgment of the Author Agreement and Copyright Transfer Statement transferring to Forum Multimedia Publishing, L.L.C., a subsidiary of Carden Jennings Publishing Co., Ltd. the exclusive rights to print and distribute the author(s) work in all media forms. Failure to check Copyright Transfer agreement box below will delay publication of the manuscript.
A current form follows:
The author(s) hereby transfer(s), assign(s), or otherwise convey(s) all copyright ownership of the manuscript submitted to Forum Multimedia Publishing, LLC (Publisher). The copyright transfer covers the exclusive rights to reproduce and distribute the article and the material contained therein throughout the world in all languages and in all media of expression now known or later developed, including but not limited to reprints, photographic reproduction, microfilm, electronic data processing (including programming, storage, and transmission to other electronic data record(s), or any other reproductions of similar nature), and translations.
However, Publisher grants back to the author(s) the following:
- The right to make and distribute copies of all or part of this work for use of the author(s) in teaching;
- The right to use, after publication in The Heart Surgery Forum, all or part of the material from this work in a book by the author(s), or in a collection of work by the author(s);
- The royalty-free right to make copies of this work for internal distribution within the institution/company that employs the author(s) subject to the provisions below for a work-made-for-hire;
- The right to use figures and tables from this work, and up to 250 words of text, for any purpose;
- The right to make oral presentations of material from this work.
Publisher reserves the right to grant or refuse permission to third parties to republish all or part of the article or translations thereof. To republish, such third parties must obtain written permission from the Publisher. (This is in accordance with the Copyright Statute, United States Code, Title 17. Exception: If all authors were bona fide officers or employees of the U.S. Government at the time the paper was prepared, the work is a “work of the US Government” (prepared by an officer or employee of the US Government as part of official duties), and therefore is not subject to US copyright; such exception should be indicated on signature lines. If this work was prepared under US Government contract or grant, the US Government may reproduce, royalty-free, all or portions of this work and may authorize others to do so, for official US Government purposes only, if the US Government contract or grant so requires.
I have participated in the conception and design of this work and in the writing of the manuscript and take public responsibility for it. Neither this manuscript nor one with substantially similar content under my authorship has been published, has been submitted for publication elsewhere, or will be submitted for publication elsewhere while under consideration by The Heart Surgery Forum, except as described in an attachment. I have reviewed this manuscript (original version) and approve its submission. If I am listed above as corresponding author, I will provide all authors with information regarding this manuscript and will obtain their approval before submitting any revision. I attest to the validity, accuracy, and legitimacy of the content of the manuscript and understand that Publisher assumes no responsibility for the validity, accuracy, and legitimacy of its content. I warrant that this manuscript is original with me and that I have full power to make this Agreement. I warrant that it contains no matter that is libelous or otherwise unlawful or that invades individual privacy or infringes any copyright or other proprietary right. I agree to indemnify and hold Publisher harmless of and from any claim made against Publisher that relates to or arises out of the publication of the manuscript and agree that this indemnification shall include payment of all costs and expenses relating to the defense of any such claim, including all reasonable attorney’s fees.
I warrant that I have no financial interest in the drugs, devices, or procedures described in the manuscript (except as disclosed in the attached statement).
I state that the institutional Human Subjects Committee and/or the Ethics Committee approved the clinical protocol reported in this manuscript for the use of experimental techniques, drugs, or devices in human subjects and appropriate informed consent documents were utilized.
Furthermore, I state that any and all animals used for experimental purposes received humane care in USDA registered facilities in compliance with the “Principles of Laboratory Animal Care” formulated by the National Society for Medical Research and the “Guide for the Care and Use of Laboratory Animals” prepared by the Institute of Laboratory Animal Resources and published by the National Institutes of Health (NIH Publication No. 85-23, revised 1985).