This paper reviews our experience in endovascular treatment of isolated iliac artery aneurysms (IIAAs) with a large number of patients.From May 2005 to September 2013, 45 patients (43 men and two women; mean age, 74 ± 10 years) with a total of 59 IIAAs underwent endovascular treatment at our institute. We evaluated technical success, long-term patency, early and late complications and overall mortality. Patients were divided into two groups: emergency-treatment group and elective-treatment group.At a median follow-up of 34.3 months, we achieved a technical success of 97.8 \%, a primary patency of 95.5 \% and a secondary patency of 100 \%, with complete exclusion of the aneurysm in 84.5 \% of cases. The incidence of endoleaks was of 15.5 \%: eight were type II and one was type III; perioperative mortality was 4.7 \%.Our study documents the effectiveness, in both emergency and elective settings, of the endovascular treatment of iliac aneurysms (EVIAR), which has become the first-choice treatment at our institute. In particular cases, it is also possible to avoid embolisation of the internal iliac artery.
Isolated iliac artery aneurysms: a single-centre experience.
FOSSACECA, Rita;G. Guzzardi;CERINI, PAOLO;STANCA, CARMELO;CARRIERO, Alessandro
2015-01-01
Abstract
This paper reviews our experience in endovascular treatment of isolated iliac artery aneurysms (IIAAs) with a large number of patients.From May 2005 to September 2013, 45 patients (43 men and two women; mean age, 74 ± 10 years) with a total of 59 IIAAs underwent endovascular treatment at our institute. We evaluated technical success, long-term patency, early and late complications and overall mortality. Patients were divided into two groups: emergency-treatment group and elective-treatment group.At a median follow-up of 34.3 months, we achieved a technical success of 97.8 \%, a primary patency of 95.5 \% and a secondary patency of 100 \%, with complete exclusion of the aneurysm in 84.5 \% of cases. The incidence of endoleaks was of 15.5 \%: eight were type II and one was type III; perioperative mortality was 4.7 \%.Our study documents the effectiveness, in both emergency and elective settings, of the endovascular treatment of iliac aneurysms (EVIAR), which has become the first-choice treatment at our institute. In particular cases, it is also possible to avoid embolisation of the internal iliac artery.File | Dimensione | Formato | |
---|---|---|---|
art%3A10.1007%2Fs11547-014-0468-y.pdf
file disponibile agli utenti autorizzati
Tipologia:
Documento in Post-print
Licenza:
DRM non definito
Dimensione
784.1 kB
Formato
Adobe PDF
|
784.1 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.