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Internal iliac aneurysm

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https://www.readbyqxmd.com/read/27903477/simultaneous-endovascular-repair-for-thoracic-and-abdominal-aortic-pathologies-early-and-mid-term-results
#1
Yuanyuan Guo, Hongbo Cai, Bin Yang, Hui Jin
OBJECTIVES: To analyse information from a single clinical centre, evaluating early and mid-term results of simultaneous thoracic endovascular aortic repair (TEVAR) and endovascular aneurysm repair (EVAR) for co-existing 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 26, 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
#2
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...
November 17, 2016: 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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/27738467/repair-of-internal-iliac-artery-aneurysm-anastomosed-to-donor-renal-artery-in-a-renal-transplant-patient
#8
Takashi Yamauchi, Hiroshi Takano, Keiwa Kin, Shuusaku Maeda
We herein report a successful repair of an internal iliac artery aneurysm in a renal transplant patient. At renal transplantation, the main renal artery and accessory renal artery had been anastomosed to the right internal iliac artery and right external iliac artery, respectively. The patient underwent resection and graft replacement of the iliac artery aneurysm with reattachment of the main renal artery to the right external iliac artery through a midline laparotomy with repeated topical cold perfusion for renal protection...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27737406/endovascular-abdominal-aneurysm-repair-in-women-what-are-the-differences-between-the-genders
#9
Rui Machado, Gabriela Teixeira, Pedro Oliveira, Luís Loureiro, Carlos Pereira, Rui Almeida
Introduction: Abdominal aortic aneurysm has a lower incidence in the female population, but a higher complication rate. It was been hypothesized that some anatomical differences of abdominal aortic aneurysm in women could be responsible for that. We proposed to analyze our data to understand the differences in the clinical and anatomical characteristics and the outcomes of patients undergoing endovascular aneurysm repair, according to gender. Methods: A retrospective analysis of patients undergoing endovascular aneurysm repair between 2001-2013 was performed...
May 2016: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27688294/long-term-results-of-intra-arterial-onyx-injection-for-type-ii-endoleaks-following-endovascular-aneurysm-repair
#10
L Ribé, C D Bicknell, R G Gibbs, N Burfitt, M P Jenkins, N Cheshire, M Hamady
PURPOSE: The aim of this paper is to report our experience of type II endoleak treatment after endovascular aneurysm repair with intra-arterial injection of the embolizing liquid material, Onyx liquid embolic system. METHODS: From 2005 to 2012, we performed a retrospective review of 600 patients, who underwent endovascular repair of an abdominal aortic aneurysm. During this period, 18 patients were treated with Onyx for type II endoleaks. PRINCIPAL FINDINGS: The source of the endoleak was the internal iliac artery in seven cases, inferior mesenteric artery in seven cases and lumbar arteries in four cases...
September 29, 2016: Vascular
https://www.readbyqxmd.com/read/27671460/carbon-dioxide-as-contrast-medium-to-guide-endovascular-aortic-aneurysm-repair
#11
Cynthia de Almeida Mendes, Alexandre de Arruda Martins, Marcelo Passos Teivelis, Sergio Kuzniec, Andrea Yasbek Monteiro Varella, Nelson Wolosker
BACKGROUND: Iodine contrast medium (ICM) is considered to be gold standard in endovascular procedures, but its nephrotoxicity and hypersensitivity limit the widespread use. Carbon dioxide (CO2) is considered as an alternative for endovascular procedures in patients with contraindication to ICM. However, no studies have compared the outcomes of endovascular aneurysm repair (EVAR) performed with ICM or CO2 among patients with no contraindication to ICM. METHODS: From May 2012 to April 2014, 36 patients with abdominal aortic aneurysms underwent EVAR in a prospective, randomized, and controlled study...
September 23, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27636398/iliac-and-femoro-popliteal-arteries-morphological-cta-features-as-determinants-of-outcome-after-standard-evar-procedures
#12
Pasqualino Sirignano, Francesco Speziale, Laura Capoccia, Danilo Menna, Wassim Mansour, Nunzio Montelione, Francesco Setacci, Giuseppe Galzerano, Carlo Setacci
BACKGROUND: To evaluate the impact of iliac artery's diameters, tortuosity, and peripheral vascular patency on outcome of elective endovascular repair (EVAR) of abdominal aortic aneurysms (AAA) in 2 high volume vascular centers' experience. METHODS: A retrospective study was conducted on a prospectively collected database between 2010 and 2012. Anatomical features at pre-operative computed tomography (CTA) considered as potentially influencing outcomes were: iliac diameters, tortuosity (expressed as a ratio), and calcifications, bilateral internal iliac artery (IIA) patency, and presence of Trans-Atlantic Inter-Societies Consensus (TASC) II C/D femoro-popliteal occlusive disease (PAD)...
September 16, 2016: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27630752/rupture-of-internal-pudendal-artery-aneurysm-following-spontaneous-vaginal-delivery-an-uncommon-cause-of-post-partum-bleeding
#13
Daniel Martingano, Francis X Martingano, Rosemary Ruggiero-DeCarlo
Pregnancy-related rupture of an arterial aneurysm is an unusual occurrence associated with increased risk of morbidity and mortality. Various pregnancy-related physiologic changes appear to make pregnancy a high-risk situation for rupture of either preexisting arterial aneurysms or those that develop throughout the course of pregnancy. Splenic artery aneurysms are the most common (60%), followed by hepatic (20%), superior mesenteric (5.9%), celiac (4%), ovarian, uterine, and renal (<2%) artery. Even rarer are aneurysms involving the internal iliac artery and its branches, to which there is only one published case report...
September 2016: Obstetric Medicine
https://www.readbyqxmd.com/read/27600731/outcome-after-interruption-or-preservation-of-internal-iliac-artery-flow-during-endovascular-repair-of-abdominal-aorto-iliac-aneurysms
#14
G N Kouvelos, A Katsargyris, G A Antoniou, K Oikonomou, E L G Verhoeven
AIM: The aim was to conduct a systematic review of the literature investigating outcomes after interruption or preservation of the internal iliac artery (IIA) during endovascular aneurysm repair (EVAR). METHODS: A systematic review was undertaken using the MEDLINE and EMBASE databases to identify studies reporting IIA management during EVAR. The search identified 57 articles: 30 reported on IIA interruption (1468 patients) and 27 on IIA preservation (816 patients)...
September 2, 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27586313/-thoracic-endovascular-aortic-repair-via-internal-iliac-artery-conduit
#15
Taro Hayashi, Satoshi Tobe, Hironobu Sugiyama, Shinichi Ijyuin, Masahiro Yamaguchi, Masato Yamaguchi, Takanori Oka, Takuya Misato, Kotaro Tsunemi, Nobuhiro Tanimura
A 77-year-old man with a history of stent implantation in the right common iliac artery(CIA) and the left external iliac artery(EIA) was admitted to our hospital for a rapid growth of an aneurysm( max 53 mm) at Th11 level of the descending aorta. Although thoracic endovascular aortic repair (TEVAR) was required, there were many problems about access rout. The infrarenal abdominal aorta and the left EIA were severely calcified, and the lumens of the right CIA stent(5.3 mm) and the left EIA stent( 4.3 mm) were small in size...
September 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27578385/blunt-traumatic-superior-gluteal-artery-pseudoaneurysm-presenting-as-gluteal-hematoma-without-bony-injury-a-rare-case-report
#16
Annu Babu, Amit Gupta, Pawan Sharma, Piyush Ranjan, Atin Kumar
Blunt traumatic injuries to the superior gluteal artery are rare in clinic. A majority of injuries present as aneurysms following penetrating trauma, fracture pelvis or posterior dislocation of the hip joint. We reported a rare case of superior gluteal artery pseudoaneurysm following blunt trauma presenting as large expanding right gluteal hematoma without any bony injury. The gluteal hematoma was suspected clinically, confirmed by ultrasound and the arterial injury was diagnosed by CT angiography that revealed a large right gluteal hematoma with a focal contrast leakage forming a pseudoaneurysm within the hematoma...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27556311/endovascular-treatment-of-internal-iliac-artery-aneurysms-single-center-experience
#17
Rui Manuel Machado, Duarte Nuno Cunha Rego, Pedro Nuno Ferreira Pinto de Oliveira, Rui Manuel Gonçalves Fernandes de Almeida
OBJECTIVE: Internal iliac artery aneurysms (IIAA) are rare, representing only 0.3% of aortoiliac aneurysms. Its treatment with open surgery is complex and associated with high morbidity and mortality, which led to increasing application of endovascular solutions. In this study, we aimed to evaluate outcomes of endovascular aneurysm repair (EVAR) of IIAA in one institution. METHODS: We retrospectively reviewed all cases of IIAA treated with endovascular techniques between 2003 and 2014...
April 2016: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27523986/the-influence-of-downstream-branching-arteries-on-upstream-haemodynamics
#18
Lachlan J Kelsey, Karol Miller, Paul E Norman, Janet T Powell, Barry J Doyle
The accuracy and usefulness of computed flow data in an artery is dependent on the initial geometry, which is in turn dependent on image quality. Due to the resolution of the images, smaller branching arteries are often not captured with computed tomography (CT), and thus neglected in flow simulations. Here, we used a high-quality CT dataset of an isolated common iliac aneurysm, where multiple small branches of the internal iliac artery were evident. Simulations were performed both with and without these branches...
September 6, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27500759/endovascular-anatomic-reconstruction-of-the-iliac-bifurcation-with-covered-stentgrafts-in-sandwich-technique-for-the-treatment-of-complex-aorto-iliac-aneurysms
#19
Alexander Massmann, Nilo Javier Mosquera Arochena, Roushanak Shayesteh-Kheslat, Arno Buecker
OBJECTIVE: Endovascular anatomic reconstruction of iliac artery bifurcation in aorto-iliac aneurysms using commercial stentgrafts in sandwich-technique by bilateral transfemoral approach. METHODS: 24 patients (mean 73.8±standard deviation 6.8years) with complex aorto-iliac aneurysms (AAA): n=17; diameter 64±15 [48-100]mm; common-iliac-artery (CIA): n=27; 43±15 [30-87]mm; internal-iliac-artery (IIA): n=14; 28±8 [15-43]mm) were prospectively enrolled for EVAR with preservation of the IIA (n=31; bi-lateral n=7)...
November 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27492764/a-multicenter-12-month-experience-with-a-new-iliac-side-branched-device-for-revascularization-of-hypogastric-arteries
#20
Spyridon N Mylonas, Gerhard Rümenapf, Hubert Schelzig, Jörg Heckenkamp, Marwan Youssef, Jost Philipp Schäfer, Wael Ahmad, Jan Sigge Brunkwall
OBJECTIVE: The aim of this study was to investigate the 1-year safety and efficacy of a new iliac side-branched device (IBD) for revascularization of the hypogastric arteries. METHODS: Patients receiving the E-liac (Jotec GmbH, Hechingen, Germany) side-branched device at six German vascular centers either as a stand-alone procedure or in combination with abdominal aortic aneurysm exclusion were included in a prospectively created data bank. Collected data were analyzed for baseline characteristics, procedural events, and clinical follow-up; variables included endoleaks, reinterventions, and internal iliac artery (IIA) patency...
August 1, 2016: Journal of Vascular Surgery
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