Single-center experience in the endovascular management of isolated iliac artery aneurysm

ManDeuk Kim, Do Yun Lee, Myungsu Lee, Jong Yun Won, Shin Jae Lee, Il Jung Kim, Sung Il Park, Donghoon Choi, Young Guk Ko

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Isolated iliac artery aneurysms (IAA) are relatively uncommon and represent 2-7% of all intra-abdominal aneurysms. Surgery is the gold standard treatment for IAA. However, endovascular stent-graft placement is gaining acceptance as an alternative to surgery especially in patients with high surgical risk. Purpose: To evaluate the effectiveness and safety of endovascular management of isolated IAA having various anatomic and pathologic bases. Material and Methods: Between 2008 and 2011, 31 patients who underwent endovascular treatment for isolated IAA were retrospectively analyzed. The mean aneurysm size was 43mm (range, 30-71 mm). The age ranged from 37 to 87 years (mean, 70.0 years). Isolated IAAs were treated in one of three different ways: (i) infrarenal aortic stent-graft placement with limb extension; (ii) stent-graft placement for isolated iliac artery coverage; and (iii) embolization with a coil and a vascular plug combined with femoral-femoral bypass grafting. All patients were assessed by contrast-enhanced computed tomography (CT). The mean follow-up period was 25.1 months (range, 1-60 months). Results: Common iliac artery involvement was seen in 28 patients. Ten (35.7%) of those patients also had an internal IAA. Three patients had an isolated internal IAA. Infrarenal stent-graft placement was performed in 25 patients. Stentgraft placement for coverage of the only iliac artery was performed in five patients. One patient, who had a mycotic aneurysm of the right common iliac artery underwent coil embolization of the ipsilateral common iliac artery with concurrent femoral-femoral bypass graft. Five of the 31 patients (16.1%) with stent grafts had type II endoleaks at the time of the last imaging study, one of those patients underwent percutaneous embolization with glue. None of the patients showed major procedure-related complications. Conclusion: Percutaneous management of IAA is effective and safe with various techniques depending on the anatomical and pathologic features of the isolated IAA.

Original languageEnglish
Pages (from-to)195-200
Number of pages6
JournalActa Radiologica
Volume55
Issue number2
DOIs
Publication statusPublished - 2014 Mar 1

Fingerprint

Iliac Aneurysm
Iliac Artery
Stents
Thigh
Transplants
Aneurysm
Infected Aneurysm
Endoleak
Safety Management
Adhesives

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Kim, ManDeuk ; Lee, Do Yun ; Lee, Myungsu ; Won, Jong Yun ; Lee, Shin Jae ; Kim, Il Jung ; Park, Sung Il ; Choi, Donghoon ; Ko, Young Guk. / Single-center experience in the endovascular management of isolated iliac artery aneurysm. In: Acta Radiologica. 2014 ; Vol. 55, No. 2. pp. 195-200.
@article{fb29d0a6e5474f95a7b76da34079d490,
title = "Single-center experience in the endovascular management of isolated iliac artery aneurysm",
abstract = "Background: Isolated iliac artery aneurysms (IAA) are relatively uncommon and represent 2-7{\%} of all intra-abdominal aneurysms. Surgery is the gold standard treatment for IAA. However, endovascular stent-graft placement is gaining acceptance as an alternative to surgery especially in patients with high surgical risk. Purpose: To evaluate the effectiveness and safety of endovascular management of isolated IAA having various anatomic and pathologic bases. Material and Methods: Between 2008 and 2011, 31 patients who underwent endovascular treatment for isolated IAA were retrospectively analyzed. The mean aneurysm size was 43mm (range, 30-71 mm). The age ranged from 37 to 87 years (mean, 70.0 years). Isolated IAAs were treated in one of three different ways: (i) infrarenal aortic stent-graft placement with limb extension; (ii) stent-graft placement for isolated iliac artery coverage; and (iii) embolization with a coil and a vascular plug combined with femoral-femoral bypass grafting. All patients were assessed by contrast-enhanced computed tomography (CT). The mean follow-up period was 25.1 months (range, 1-60 months). Results: Common iliac artery involvement was seen in 28 patients. Ten (35.7{\%}) of those patients also had an internal IAA. Three patients had an isolated internal IAA. Infrarenal stent-graft placement was performed in 25 patients. Stentgraft placement for coverage of the only iliac artery was performed in five patients. One patient, who had a mycotic aneurysm of the right common iliac artery underwent coil embolization of the ipsilateral common iliac artery with concurrent femoral-femoral bypass graft. Five of the 31 patients (16.1{\%}) with stent grafts had type II endoleaks at the time of the last imaging study, one of those patients underwent percutaneous embolization with glue. None of the patients showed major procedure-related complications. Conclusion: Percutaneous management of IAA is effective and safe with various techniques depending on the anatomical and pathologic features of the isolated IAA.",
author = "ManDeuk Kim and Lee, {Do Yun} and Myungsu Lee and Won, {Jong Yun} and Lee, {Shin Jae} and Kim, {Il Jung} and Park, {Sung Il} and Donghoon Choi and Ko, {Young Guk}",
year = "2014",
month = "3",
day = "1",
doi = "10.1177/0284185113496553",
language = "English",
volume = "55",
pages = "195--200",
journal = "Acta Radiologica",
issn = "0284-1851",
publisher = "SAGE Publications Ltd",
number = "2",

}

Single-center experience in the endovascular management of isolated iliac artery aneurysm. / Kim, ManDeuk; Lee, Do Yun; Lee, Myungsu; Won, Jong Yun; Lee, Shin Jae; Kim, Il Jung; Park, Sung Il; Choi, Donghoon; Ko, Young Guk.

In: Acta Radiologica, Vol. 55, No. 2, 01.03.2014, p. 195-200.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Single-center experience in the endovascular management of isolated iliac artery aneurysm

AU - Kim, ManDeuk

AU - Lee, Do Yun

AU - Lee, Myungsu

AU - Won, Jong Yun

AU - Lee, Shin Jae

AU - Kim, Il Jung

AU - Park, Sung Il

AU - Choi, Donghoon

AU - Ko, Young Guk

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Background: Isolated iliac artery aneurysms (IAA) are relatively uncommon and represent 2-7% of all intra-abdominal aneurysms. Surgery is the gold standard treatment for IAA. However, endovascular stent-graft placement is gaining acceptance as an alternative to surgery especially in patients with high surgical risk. Purpose: To evaluate the effectiveness and safety of endovascular management of isolated IAA having various anatomic and pathologic bases. Material and Methods: Between 2008 and 2011, 31 patients who underwent endovascular treatment for isolated IAA were retrospectively analyzed. The mean aneurysm size was 43mm (range, 30-71 mm). The age ranged from 37 to 87 years (mean, 70.0 years). Isolated IAAs were treated in one of three different ways: (i) infrarenal aortic stent-graft placement with limb extension; (ii) stent-graft placement for isolated iliac artery coverage; and (iii) embolization with a coil and a vascular plug combined with femoral-femoral bypass grafting. All patients were assessed by contrast-enhanced computed tomography (CT). The mean follow-up period was 25.1 months (range, 1-60 months). Results: Common iliac artery involvement was seen in 28 patients. Ten (35.7%) of those patients also had an internal IAA. Three patients had an isolated internal IAA. Infrarenal stent-graft placement was performed in 25 patients. Stentgraft placement for coverage of the only iliac artery was performed in five patients. One patient, who had a mycotic aneurysm of the right common iliac artery underwent coil embolization of the ipsilateral common iliac artery with concurrent femoral-femoral bypass graft. Five of the 31 patients (16.1%) with stent grafts had type II endoleaks at the time of the last imaging study, one of those patients underwent percutaneous embolization with glue. None of the patients showed major procedure-related complications. Conclusion: Percutaneous management of IAA is effective and safe with various techniques depending on the anatomical and pathologic features of the isolated IAA.

AB - Background: Isolated iliac artery aneurysms (IAA) are relatively uncommon and represent 2-7% of all intra-abdominal aneurysms. Surgery is the gold standard treatment for IAA. However, endovascular stent-graft placement is gaining acceptance as an alternative to surgery especially in patients with high surgical risk. Purpose: To evaluate the effectiveness and safety of endovascular management of isolated IAA having various anatomic and pathologic bases. Material and Methods: Between 2008 and 2011, 31 patients who underwent endovascular treatment for isolated IAA were retrospectively analyzed. The mean aneurysm size was 43mm (range, 30-71 mm). The age ranged from 37 to 87 years (mean, 70.0 years). Isolated IAAs were treated in one of three different ways: (i) infrarenal aortic stent-graft placement with limb extension; (ii) stent-graft placement for isolated iliac artery coverage; and (iii) embolization with a coil and a vascular plug combined with femoral-femoral bypass grafting. All patients were assessed by contrast-enhanced computed tomography (CT). The mean follow-up period was 25.1 months (range, 1-60 months). Results: Common iliac artery involvement was seen in 28 patients. Ten (35.7%) of those patients also had an internal IAA. Three patients had an isolated internal IAA. Infrarenal stent-graft placement was performed in 25 patients. Stentgraft placement for coverage of the only iliac artery was performed in five patients. One patient, who had a mycotic aneurysm of the right common iliac artery underwent coil embolization of the ipsilateral common iliac artery with concurrent femoral-femoral bypass graft. Five of the 31 patients (16.1%) with stent grafts had type II endoleaks at the time of the last imaging study, one of those patients underwent percutaneous embolization with glue. None of the patients showed major procedure-related complications. Conclusion: Percutaneous management of IAA is effective and safe with various techniques depending on the anatomical and pathologic features of the isolated IAA.

UR - http://www.scopus.com/inward/record.url?scp=84896776851&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84896776851&partnerID=8YFLogxK

U2 - 10.1177/0284185113496553

DO - 10.1177/0284185113496553

M3 - Article

C2 - 23975063

AN - SCOPUS:84896776851

VL - 55

SP - 195

EP - 200

JO - Acta Radiologica

JF - Acta Radiologica

SN - 0284-1851

IS - 2

ER -