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Internal iliac aneurysm

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https://www.readbyqxmd.com/read/28214495/internal-iliac-venous-aneurysm-associated-with-pelvic-venous-insufficiency
#1
Christopher O Audu, Anna E Boniakowski, Scott Robinson, Narasimham L Dasika, Thomas Wakefield, Dawn M Coleman
Aneurysmal disease of the internal iliac vein is rare, with no standard indication for or accepted modality of treatment. Here we report an instance of unilateral, primary left internal iliac venous aneurysm and associated pelvic venous insufficiency. Following extensive workup for alternative causes, the aneurysm and left gonadal vein were coil embolized with good effect.
March 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28197832/non-surgical-management-of-a-mycotic-internal-iliac-artery-aneurysm-in-a-neonate-case-report-and-review-of-the-literature
#2
Philippa Jackson, Helen Bryant, Jeanette Kraft, Sean O'Riordan, Jai Patel, Grainne Bourke
We report a unique case of neonatal mycotic internal iliac artery aneurysm managed non-operatively. The child had multifocal osteomyelitis and no history of umbilical artery catheterisation. The aneurysm was regularly scanned and monitored until its obliteration by thrombus 17 days after initial detection. Contingency plans for either interventional radiological coiling or open surgical repair were in place had the aneurysm grown or the child deteriorated.
February 14, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28154297/outcomes-of-endovascular-repair-of-aortoiliac-aneurysms-and-analyses-of-anatomic-suitability-for-internal-iliac-artery-preserving-devices-in-japanese-patients
#3
Nathan K Itoga, Naoki Fujimura, Keita Hayashi, Hideaki Obara, Hideyuki Shimizu, Jason T Lee
BACKGROUND: Understanding that the common iliac arteries (CIA) are shorter in Asian patients, we investigated whether this anatomic difference affects the clinical outcomes of internal iliac artery (IIA) exclusion during endovascular aneurysm repair (EVAR) of aortoiliac aneurysm and thus limits the use of IIA-preserving devices in Japanese patients.Methods and Results:From 2008 to 2014, 69 Japanese patients underwent EVAR of aortoiliac aneurysms with 53 unilateral and 16 bilateral IIA exclusions...
February 2, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28127120/results-of-repair-of-iliac-artery-aneurysms-with-the-sandwich-technique
#4
Ryan A Shutze, Wes Oglesby, Allen Lee, William P Shutze
Patients undergoing endovascular repair (EVAR) of aortoiliac or iliac artery aneurysm may require sacrifice of one or both internal iliac arteries (IIAs). Until Food and Drug Administration-approved commercial grafts became available, endovascular IIA preservation was accomplished using the "sandwich" technique, but limited information is available regarding the results of this method. After obtaining institutional review board approval, we identified patients undergoing IIA preservation with the sandwich technique during EVAR at our institution...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28103753/anchor-balloon-technique
#5
Kei Shibuya, Norimasa Koike, Jun Mohara, Toru Takahashi, Yoshito Tsushima
Occlusion of an internal iliac artery or its branches is sometimes required prior to abdominal endovascular aneurysm repair. The Amplatzer vascular plug (AVP) is a useful device for this purpose, but it requires a large lumen catheter or guiding sheath to place it in the intended artery. We propose an anchor balloon technique for advancing this guiding sheath/catheter through a tortuous or angulated iliac artery for AVP placement.
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28100155/management-of-type-ii-endoleak-from-internal-iliac-artery-immediately-after-endovascular-aneurysm-repair
#6
Ming-Yi Hsu, Ta-Wei Su, I-Hao Su, Po-Jen Ko, Sung-Yu Chu
Inadvertent coverage of origin of internal iliac artery (IIA) during endovascular aneurysm repair may lead to type II endoleak. Except for open surgery, the endovascular solution is limited. We report a case with such complication that was successfully treated with coil embolization using retrograde extrastent approach. This is a new technique that has not been reported before, and as such, had been useful in the treatment of type II endoleak from IIA as an alternative to open ligation of IIA origin.
January 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28042560/inferior-mesentery-artery-and-internal-iliac-artery-preservation-with-covered-self-expanding-stents-during-endovascular-aneurysm-repair
#7
Yun Gyu Song, Hong Jang, Hyun Oh Park, Seong Ho Moon, Jong Woo Kim, Sung Hwan Kim, Jun Ho Yang, Joung Hun Byun
We report an endovascular aneurysm repair in a patient with isolated bilateral common iliac artery aneurysms, a prominent inferior mesentery artery (IMA), and bilateral proximal internal iliac artery (IIA) aneurysms using covered self-expanding stents to preserve the IMA and bilateral internal iliac arteries. A follow-up computed tomography angiography was obtained at 1 month. Pelvic circulation was well preserved without bowel ischemia. IMA and bilateral IIA preservation with covered self-expanding stents during endovascular aneurysm repair is a safe and effective method...
December 2016: Vascular Specialist International
https://www.readbyqxmd.com/read/28031685/staged-endovascular-repair-of-isolated-bilateral-internal-iliac-artery-aneurysms-a-case-report
#8
Chrisostomos Maltezos, George Galyfos, Stavros Kerasidis, Georgios Geropapas, Nikolaos Makris
This report aims to present an unusual case with isolated bilaterally located internal iliac artery aneurysms (IIAAs) that were incidentally detected. Owing to the high surgical risk of the patient and anatomical location of the aneurysms, an endovascular management was preferred. Initially, the patient underwent a percutaneous embolization of the right-sided aneurysm with coiling. A stent-graft deployment covering the orifice of the left-sided internal iliac artery and occluding the ipsilateral aneurysm followed 1 month later...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/28027890/iliac-seal-zone-dynamics-and-clinical-consequences-after-endovascular-aneurysm-repair
#9
F Bastos Gonçalves, N F Oliveira, M Josee van Rijn, K H J Ultee, S E Hoeks, S Ten Raa, R J Stolker, H J M Verhagen
OBJECTIVE: To evaluate the dynamics of the iliac attachment zone after EVAR, and the association with clinical events. METHODS: A tertiary institution's prospective EVAR database was searched to identify common iliac arteries at risk. Internally validated measurements were made, using centre lumen line reconstructions. Iliac dilatation and endograft limb retraction were the main endpoints. Associations between dilatation, retraction, oversizing, and distal seal length were investigated...
February 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28010870/few-internal-iliac-artery-aneurysms-rupture-under-4%C3%A2-cm
#10
Matti T Laine, Martin Björck, C Barry Beiles, Zoltán Szeberin, Ian Thomson, Martin Altreuther, E Sebastian Debus, Kevin Mani, Gábor Menyhei, Maarit Venermo
OBJECTIVE: This study investigated the diameter of internal iliac artery (IIA) aneurysms (IIAAs) at the time of rupture to evaluate whether the current threshold diameter for elective repair of 3 cm is reasonable. The prevalence of concomitant aneurysms and results of surgical treatment were also investigated. METHODS: This was a retrospective analysis of patients with ruptured IIAA from seven countries. The patients were collected from vascular registries and patient records of 28 vascular centers...
January 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27986483/contemporary-open-repair-of-ruptured-abdominal-aortic-aneurysms
#11
Jeffrey J Siracuse, Brianna M Krafcik, Alik Farber, Jeffrey A Kalish, Andrew McChesney, Denis Rybin, Gheorghe Doros, Mohammad H Eslami
OBJECTIVE: Although endovascular repair of ruptured abdominal aortic aneurysms (rAAAs) is increasingly more prevalent and may yield better results, open repair of rAAAs is still commonly performed. Our goal was to assess the contemporary practice patterns and outcomes of open repair of rAAA. METHODS: The 2011-2014 American College of Surgeons National Surgical Quality Improvement Program targeted open AAA database was queried for all rAAAs. Patient characteristics, presentation, aneurysm details, and operative details were analyzed to identify factors that may affect outcome in this population of patients...
December 13, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27978894/-strategies-of-internal-iliac-artery-preservation-during-endovascular-aortic-aneurysm-repair
#12
Z Z Yan, L Zhang
No abstract text is available yet for this article.
December 6, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27935885/-use-of-an-iliac-branched-endoprostheis-in-endovascular-treatment-for-an-abdominal-aortic-aneurysm-combined-with-aneurysms-of-both-common-iliac-arteries
#13
T E Imaev, I V Kuchin, P M Lepilin, A S Kolegaev, I S Medvedeva, A E Komlev, R S Akchurin
An abdominal aortic aneurysm appears to be combined with aneurysmatic lesions of the common iliac arteries in 30-40% of cases. Like abdominal aortic aneurysms, aneurysms of the common iliac arteries rarely manifest themselves clinically. The lethality rate in case of rupture is comparable to that for rupture of an abdominal aortic aneurysm. During endoprosthetic repair of abdominal aortic aneurysms combined with aneurysms of the common iliac arteries, in order to prevent endoleaks and to improve the distal zone of fixation of endografts surgeons often resort to embolization of internal iliac arteries, which may lead to ischaemic postoperative complications...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27903477/simultaneous-endovascular-repair-for-thoracic-and-abdominal-aortic-pathologies-early-and-midterm-results
#14
Yuanyuan Guo, Hongbo Cai, Bin Yang, Hui Jin
BACKGROUND: To analyze information from a single clinical center, evaluating early and midterm results of simultaneous thoracic endovascular aortic repair (TEVAR) and endovascular aneurysm repair (EVAR) for coexisting thoracic and abdominal aortic pathologies. METHODS: From January 2005 to December 2014, 13 patients (8 men, 5 women; mean age, 75.3 years; range, 69-82 years) with concomitant thoracic and abdominal aortic disease (aneurysms, type B dissection, penetrating aortic ulcers) were treated with simultaneous TEVAR and EVAR...
November 27, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27864457/embolization-or-simple-coverage-to-exclude-the-internal-iliac-artery-during-endovascular-repair-of-aortoiliac-aneurysms-systematic-review-and-meta-analysis-of-comparative-studies
#15
Nikolaos Kontopodis, Emmanouil Tavlas, George Papadopoulos, Nikolaos Galanakis, Dimitrios Tsetis, Christos V Ioannou
PURPOSE: To compare results of simple coverage vs preemptive embolization to exclude the internal iliac artery (IIA) during endovascular repair of aortoiliac aneurysms. METHODS: A systematic review of the literature was conducted by searching MEDLINE, CENTRAL, and OpenGray databases until March 2016. Primary outcome measures were safety and efficacy of the 2 strategies. Safety was determined by 30-day mortality and the minor and major complication rates. Efficacy was determined by absence of endoleak from the target IIA...
February 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27864456/endovascular-treatment-of-common-iliac-artery-aneurysms-with-an-iliac-branch-device-multicenter-experience-of-140-patients
#16
Hidde Jongsma, Joost A Bekken, Wouter J J Bekkers, Clark J Zeebregts, Joost van Herwaarden, Arjan Hoksbergen, Philip Cuypers, Jean Paul P M de Vries, Hence J Verhagen, Bram Fioole
PURPOSE: To evaluate the efficacy, feasibility, and long-term outcomes of the Zenith ZBIS iliac branch device (IBD) to preserve internal iliac artery (IIA) perfusion in a large Dutch multicenter cohort. METHODS: Between September 2004 and August 2015, 140 patients (mean age 70.9±7.4 years; 130 men) with 162 IBD implantations were identified in 7 vascular centers. The indication for IBD implantation was an abdominal aortic aneurysm >55 mm with a concomitant common iliac artery (CIA) aneurysm >20 mm (n=40), a CIA aneurysm with a diameter >30 mm (n=89), or revision of a type Ib endoleak after endovascular aneurysm repair (n=11)...
November 17, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27852233/two-unusual-cases-of-successful-treatment-of-hypermucoviscous-klebsiella-pneumoniae-invasive-syndrome
#17
Hiroki Namikawa, Koichi Yamada, Hiroki Fujimoto, Ken-Ichi Oinuma, Yoshihiro Tochino, Yasuhiko Takemoto, Yukihiro Kaneko, Taichi Shuto, Hiroshi Kakeya
BACKGROUND: A few Japanese cases of hypermucoviscous Klebsiella pneumoniae (K. pneumoniae) invasive syndrome have recently been reported. Although extrahepatic complications from bacteremic dissemination have been observed, infected aneurysms are rare. Furthermore, the primary source of infection is generally a liver abscess, and is rarely the prostate. Therefore, we report two atypical cases of hypermucoviscous K. pneumoniae invasive syndrome. CASE PRESENTATION: The first case was an 81-year-old Japanese man with no significant medical history, who was referred to our hospital for vision loss in his right eye...
November 16, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27776696/preservation-of-hypogastric-flow-and-control-of-iliac-aneurysm-size-in-the-treatment-of-aortoiliac-aneurysms-using-the-nellix-endovascular-aneurysm-sealing-endograft
#18
Dainis K Krievins, Janis Savlovskis, Andrew H Holden, Kaspars Kisis, Andrew A Hill, Marcis Gedins, Natalija Ezite, Christopher K Zarins
OBJECTIVE: The purpose of this study was to determine the long-term effectiveness of endovascular aneurysm sealing (EVAS) in the treatment of complex aortoiliac aneurysms with preservation of hypogastric artery flow. METHODS: We reviewed all patients with abdominal aortic aneurysms (AAAs) and common iliac aneurysms (CIAs) enrolled and treated in prospective studies of EVAS using the Nellix endograft (Endologix, Irvine, Calif) at two centers from 2008 to 2014. Patients with 1 year or more of computed tomography follow-up underwent quantitative morphometric assessment by two independent vascular radiologists blinded to clinical outcome results...
November 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27765025/staphylococcus-aureus-bacteremia-with-iliac-artery-endarteritis-in-a-patient-receiving-ustekinumab
#19
Insa Joost, Johannes Steinfurt, Philipp T Meyer, Winfried V Kern, Siegbert Rieg
BACKGROUND: Ustekinumab (Stelara®), a human monoclonal antibody targeting the p40-subunit of interleukin (IL)-12 and IL-23, is indicated for moderate to severe plaque psoriasis and psoriatic arthritis. In large multicenter, prospective trials assessing efficacy and safety of ustekinumab increased rates of severe infections have not been observed so far. CASE PRESENTATION: Here, we report the case of a 64-year old woman presenting with chills, pain and swelling of her right foot with dark maculae at the sole, and elevated inflammatory markers...
October 20, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27738472/a-case-of-intestinal-necrosis-after-bilateral-internal-iliac-artery-preserving-endovascular-repair-for-abdominal-aortic-aneurysm
#20
Tomomi Nakajima, Masataka Sato, Akito Imai, Yasunori Watanabe
A 79-year-old man underwent endovascular repair for abdominal aortic aneurysm (AAA), and both internal iliac arteries (IIAs) were preserved. Postoperatively, loss of appetite developed. On the fifth day, computerized tomography (CT) showed inferior mesenteric artery thrombus formation, necrosis of the descending colon and rectum, and generalized peritonitis. The endovascular devices had not migrated. A colonic resection was performed. Histological analysis confirmed intestinal necrosis associated with mesenteric thrombus...
2016: Annals of Vascular Diseases
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