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Internal iliac aneurysm

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https://www.readbyqxmd.com/read/28955702/aorto-uni-iliac-stent-grafting-and-femoro-femoral-bypass-in-a-patient-with-a-failed-and-catastrophic-endovascular-aortic-aneurysm-repair
#1
Wonho Kim, Min Suk Choi, Jin Ho Choi
A 78-year-old man presented at Eulji University Hospital due to an abdominal aortic aneurysm with maximum diameter of 52 mm, which had been increased from 45 mm over 6 months. He underwent embolization of the left internal iliac artery with vascular plug, prior to endovascular abdominal aortic repair with a bifurcated stent graft system. Unfortunately, the inserted vascular plug was maldeployed and protruded into left external iliac artery, and caused acute limb ischemia. Because revascularization of the occluded segment was failed, emergent hybrid approach with aorto-uni-iliac stent grafting and femoro-femoral bypass was done, successfully...
September 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28890057/endovascular-exclusion-of-hypogastric-aneurysms-using-distal-branches-of-the-internal-iliac-artery-as-landing-zone-a-case-series
#2
D'Oria Mario, Pipitone Marco, Sgorlon Giada, Chiarandini Stefano, Rotelli Alice, Griselli Filippo
PURPOSE: To report an alternative endovascular technique to exclude aneurysms of the internal iliac artery in the setting of abdominal aortic aneurysm (AAA) disease using the anterior division of the hypogastric artery (HGA) or the superior gluteal artery (SGA) as distal landing zone for the stent-graft. CASE-SERIES: 3 patients with hypogastric artery (HGA) aneurysms in the setting of AAA that were excluded with placement of a self-expandable covered stent (SECS)...
September 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28887257/a-rare-presentation-of-abdominal-aortic-aneurysm-renal-pelvis-rupture-due-to-compression
#3
Christopher Lowe, Khalid Bashaeb, George A Antoniou
Abdominal aortic aneurysms (AAAs) are usually asymptomatic. The compressive effects of internal iliac aneurysms are well described in the literature; however, we report what we believe to be the first case of rupture of the renal pelvis caused by compression by an infrarenal AAA. We describe the subsequent management and briefly review the literature.
September 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28853644/effectiveness-of-the-conservative-therapy-for-spontaneous-isolated-iliac-artery-dissection-preliminary-results
#4
Zhuhong Liang, Weiwei Guo, Chunhua Du, Yingdi Xie
Purpose To investigate the effectiveness of conservative therapy for spontaneous isolated iliac artery dissection (SIIAD). Methods From February 2006 to May 2016, all patients with SIIAD were included and analyzed. The diagnosis of SIIAD was made based on contrast-enhanced computed tomography. The imaging morphologic characteristics, treatments, and outcomes for each patient were analyzed. Results A total of 11 patients (10 male and 1 female, age 71.1 ± 7.8 years) were included in this study. Of the 11 patients, 8 patients were asymptomatic and the SIIADs were discovered during the course of computed tomography for other diseases, and 3 patients were symptomatic...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28814153/a-systematic-review-of-treatment-modalities-and-outcomes-of-type-ib-endoleak-after-endovascular-abdominal-aneurysm-repair
#5
Claudio Bianchini Massoni, Paolo Perini, Tiziano Tecchio, Matteo Azzarone, Alessandro de Troia, Antonio Freyrie
Objectives To collect specific literature on type Ib endoleak after aorto-iliac endografting for abdominal aortic aneurysm, reporting data on diagnosis, treatment, and follow-up results. Methods Publications about type Ib endoleak after aorto-iliac endografting for abdominal aortic or iliac aneurysm were searched in PubMed, Web of Science, and Scopus. Considered studies were in English and published until 3 November 2016. Research methods and reporting were performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28705404/midterm-results-of-internal-iliac-artery-aneurysm-embolization
#6
A Pirvu, N Gallet, S Perou, F Thony, J-L Magne
OBJECTIVE: We describe the immediate and midterm results of endovascular treatment of isolated internal iliac artery aneurysms (IIAA). METHODS: This was a retrospective single center study. From 2005 to 2014, data from 20 consecutive patients who had an embolisation for an isolated atherosclerotic internal iliac artery aneurysm underwent an endovascular treatment. We retrospectively evaluated the technical aspects and outcomes. RESULTS: The mean aneurysm diameter was 42mm (range 30-97mm)...
May 2017: J Med Vasc
https://www.readbyqxmd.com/read/28697942/outcomes-for-concomitant-common-iliac-artery-aneurysms-after-endovascular-abdominal-aortic-aneurysm-repair
#7
COMPARATIVE STUDY
Mohsen Bannazadeh, Christina Jenkins, Andrew Forsyth, Jason Kramer, Ankur Aggarwal, Amy E Somerset, Paul G Bove, Graham W Long
OBJECTIVE: This study evaluated the morbidity of endovascular abdominal aortic aneurysm repair (EVAR) in patients with concomitant common iliac artery aneurysm (CCIAA). METHODS: This was a retrospective review of all patients who underwent elective EVAR from June 2006 through June 2012 at a single institution. Demographics, comorbidities, preoperative presentation, intraoperative details, and postoperative complications were tabulated. Patients with CCIAA were categorized into three groups according to the distal extent of their iliac limb: iliac limb extension into the external iliac artery with internal iliac artery coil embolization (EE); flared iliac limb ≥20 mm in diameter to the iliac bifurcation (FL); and iliac limb ≤20 mm ending proximal to the CCIAA (no-FL)...
November 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28690999/early-experiences-of-sandwich-technique-to-preserve-pelvic-circulation-during-endovascular-aneurysm-repair
#8
Daehwan Kim, Jung Kee Chung, Hyung Sub Park, In Mok Jung, Taeseung Lee
PURPOSE: To report experiences of the sandwich technique (ST) for preservation of pelvic flow during endovascular repair of complex aortic or aortoiliac aneurysms. MATERIALS AND METHODS: Eight patients underwent elective endovascular aneurysm repair (EVAR) using the ST between March 2013 and February 2017. The anatomic indications for the ST were complex aortoiliac aneurysms (5 cases), abdominal aortic aneurysms (AAA) with non-diseased short common iliac arteries (2 cases) and AAA with unilateral occluded iliac artery (1 case)...
June 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28689946/evaluating-the-effectiveness-of-internal-iliac-artery-branched-endovascular-stent-grafts
#9
Faysal Naji, Varun Srivatsav, Mohammed Qadura, John Harlock, Tara Andrinopoulos, Vikram Iyer, Theodore Rapanos
BACKGROUND: The aim of this study is to describe our institutional experience using iliac branch grafts (IBGs) in aortoiliac aneurysm repair. METHODS: From October 2009 to April 2016, 41 consecutive patients (all men), mean age 71.7 years (range 55-87), underwent IBG implantation. Abdominal aortic aneurysm with common iliac artery involvement (n = 21) or bilateral common iliac artery aneurysms (n = 20) were indications. Computed tomography was used to evaluate patency and postoperative endoleaks within 1 month of implantation and after 1 year...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28681223/embolization-of-a-previously-excluded-symptomatic-internal-iliac-aneurysm-through-the-iliac-vein
#10
Raphaël Coscas, Pauline Fillet, Henri Lamas, Isabelle Javerliat, Olivier Goeau-Brissonniere, Marc Coggia
A 69-year-old man was referred urgently for a 58-mm enlarging painful right internal iliac artery (IIA) aneurysm. Since exclusion through proximal IIA coverage and distal IIA branches embolization had been previously performed, aneurysm sac puncture through the iliac vein was decided. The ipsilateral common femoral vein was antegradely punctured, and a 16.5 G Ross modified Colapinto needle from a transjugular intrahepatic access set was used to puncture the sac and fill the aneurysm with coils. Embolization of an IIA aneurysm through the iliac vein may represent an alternative when prior IIA aneurysm exclusion has been performed...
July 5, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28678313/evaluation-of-a-new-imaging-software-for-aortic-endograft-planning
#11
G Tinelli, A Hertault, T Martin Gonzalez, R Spear, R Azzaoui, J Sobocinski, R E Clough, S Haulon
OBJECTIVE: The aim of this study was to evaluate a new 3D Workstation workflow (EVAR Assist, Advantage Windows, GE Healthcare, Chalfont, UK) (EA-AW) designed to simplify complex EVAR planning. PATIENTS AND METHODS: All pre-operative computed tomography (CT) scans of patients who underwent repair at our institution of a complex aortic aneurysm using fenestrated endovascular repair (f-EVAR) between January and September 2014, were reviewed. For each patient, imaging analysis (12 measures: aortic diameters and length and "clock position" of visceral artery) was performed on two different workstations: Aquarius (TeraRecon, San Mateo, CA, USA) and EA-AW...
June 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28642109/neoaortic-xenoprosthetic-grafts-for-treatment-of-mycotic-aneurysms-and-infected-aortic-grafts
#12
Chukwudubem Anibueze, Visesh Sankaran, Umar Sadat, Kelvin Tan, Yvonne G Wilson, Robert E Brightwell, Michael S Delbridge, Philip W Stather
BACKGROUND: There is no international consensus regarding the optimum management of infected aortae (mycotic aneurysms, infected aortic grafts). Neoaortoiliac reconstruction has advantages over extra-anatomical bypass grafting; however, the use of autologous vein is associated with venous hypertension and compartment syndrome, alternatively cadaveric homografts are associated with high rates of perianastomotic hemorrhage, limb occlusion, and pseudoaneurysm. Arterial repair using xenoprosthetic patches is associated with lower infection rates compared to the use of prosthetic material...
June 20, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28580350/colon-perforation-due-to-embolization-coil-for-internal-iliac-aneurysm
#13
Ho Kyun Lee, Hong Sung Jung, Sang Young Chung, Soo Jin Na Choi
Coil migration is an extremely rare but hazardous complication of aneurysmal coil embolization. Only 1 case report has described coil migration following endovascular exclusion to gastrointestinal (GI) tract. We report the experience of a case of colon penetration caused by embolization coil placed for internal iliac aneurysm. A 66-year-old man visited the Emergency Department for hematochezia that had persisted for 3 months. Stent insertion and coil embolization of left internal iliac artery aneurysm had been performed on the patient 18 months ago...
June 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28559174/prospective-multicenter-study-of-endovascular-repair-of-aortoiliac-and-iliac-aneurysms-using-the-gore-iliac-branch-endoprosthesis
#14
MULTICENTER STUDY
Darren B Schneider, Jon S Matsumura, Jason T Lee, Brian G Peterson, Rabih A Chaer, Gustavo S Oderich
OBJECTIVE: The GORE EXCLUDER Iliac Branch Endoprosthesis (IBE; W. L. Gore and Associates, Flagstaff, Ariz) is an iliac branch stent graft system designed to preserve internal iliac artery perfusion during endovascular repair of aortoiliac aneurysms (AIAs) and common iliac artery (CIA) aneurysms (CIAAs). We report the 6-month primary end point results of the IBE 12-04 United States pivotal trial for endovascular treatment of AIAs and CIAAs using the IBE device. METHODS: The trial prospectively enrolled 63 patients with AIA or CIAA who underwent implantation of the IBE device at 28 centers in the United States from 2013 to 2015...
September 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28551718/pelvic-artery-aneurysm-screening-provides-value-in-patients-with-thoracic-aortic-aneurysms
#15
Matthew Chapman, Leslie E Quint, Kuanwong Watcharotone, Bin Nan, Michael J Ranella, Mariana R DeFreitas, Joanna R Hider, Jonathan L Eliason, Himanshu J Patel
Approximately ¼ of patients with thoracic aortic aneurysms (TAAs) have concomitant abdominal aortic aneurysms (AAAs), thereby justifying the addition of an abdominal CT scan to a chest CT scan in patients with a newly diagnosed or suspected TAA. However, the prevalence of pelvic artery aneurysms (PAAs) in these patients is unknown. The purpose of this study was to determine the prevalence of PAAs in patients with TAAs and to assess what patient specific factors were associated with PAAs, thereby providing insight into the usefulness of pelvic imaging in TAA patients...
October 2017: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28537446/clinical-outcomes-of-hypogastric-artery-occlusion-for-endovascular-aortic-aneurysm-repair
#16
Wuttichai Saengprakai, Joost A van Herwaarden, George S Georgiadis, Worawong Slisatkorn, Frans L Moll
PURPOSE: To determine the midterm outcomes of internal iliac artery (IIA) coverage by a stent-graft in endovascular aortic aneurysm repair (EVAR) under specific anatomic and technical circumstances. MATERIAL AND METHODS: From January 2003 until January 2014, 57 patients with aortoiliac aneurysms, including 20 with 24 IIA aneurysms (IIAAs), underwent EVAR with IIA coverage. IIAA diameter change or IIA thrombosis, buttock claudication, type II endoleak, and secondary interventions related to the IIA were studied...
May 24, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28526898/erratum-to-non-surgical-management-of-a-mycotic-internal-iliac-artery-aneurysm-in-a-neonate-case-report-and-review-of-the-literature
#17
Philippa Jackson, Helen Bryant, Jeanette Kraft, Sean O'Riordan, Jai Patel, Grainne Bourke
No abstract text is available yet for this article.
July 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28511617/secondary-procedures-following-iliac-branch-device-treatment-of-aneurysms-involving-the-iliac-bifurcation-the-pelvis-registry
#18
Konstantinos P Donas, Mirjam Inchingolo, Piergiorgio Cao, Carlo Pratesi, Giovanni Pratesi, Giovanni Torsello, Georgios A Pitoulias, Ciro Ferrer, Gianbattista Parlani, Fabio Verzini
PURPOSE: To evaluate the incidence and reasons for secondary procedures in patients treated with iliac branch devices (IBDs) for isolated iliac aneurysm or aortoiliac aneurysms involving the iliac bifurcation. METHODS: Between January 2005 and December 2015, 575 surgical-high-risk patients (mean age 72.0±8.4 years; 558 men) with isolated iliac aneurysms (n=79) or aortoiliac aneurysms involving the iliac bifurcation (n=496) were treated with placement of 650 ZBIS or Gore IBDs (75 bilateral) in 6 European centers...
June 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28505319/spinal-cord-ischaemia-after-endovascular-aneurysm-repair
#19
Kayoko Natsume, Norihiko Shiiya, Katsushi Yamashita, Naoki Washiyama
We report the case of a patient who developed paraparesis 2 days after endovascular aneurysm repair for a right common iliac aneurysm. The patient had undergone thoracic endovascular aortic repair. The left subclavian artery was occluded, but the left internal iliac artery was preserved. The patient fully recovered from the paralysis within 3 months. This case illustrates the importance of collateral blood supply to the spinal cord from the lumbosacral region, especially when other sources are occluded.
November 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28502552/bifurcated-bifurcated-aneurysm-repair-is-a-novel-technique-to-repair-infrarenal-aortic-aneurysms-in-the-setting-of-iliac-aneurysms
#20
Susanna Hewon Shin, Benjamin Ware Starnes
BACKGROUND: Up to 40% of abdominal aortic aneurysms (AAAs) have coexistent iliac artery aneurysms (IAAs). In the past, successful endovascular repair required internal iliac artery (IIA) embolization, which can lead to pelvic or buttock ischemia. This study describes a technique that uses a readily available solution with a minimally altered off-the-shelf bifurcated graft in the IAA to maintain IIA perfusion. METHODS: From August 2009 to May 2015, 14 patients with AAAs and coexisting IAAs underwent repair with a bifurcated-bifurcated approach...
November 2017: Journal of Vascular Surgery
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