Endovascular Treatment of Common Iliac Artery Aneurysms With an Iliac Branch Device: Multicenter Experience of 140 Patients
| Autor: | Hence J.M. Verhagen, Wouter J. J. Bekkers, P. W. M. Cuypers, Hidde Jongsma, Bram Fioole, Joost A. van Herwaarden, Jean-Paul P.M. de Vries, Joost A. Bekken, A.W.J. Hoksbergen, Clark J. Zeebregts |
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| Přispěvatelé: | Surgery, ACS - Atherosclerosis & ischemic syndromes, Man, Biomaterials and Microbes (MBM), Vascular Ageing Programme (VAP), Robotics and image-guided minimally-invasive surgery (ROBOTICS) |
| Rok vydání: | 2017 |
| Předmět: |
Male
internal iliac artery Time Factors medicine.medical_treatment AORTOILIAC ANEURYSMS 030204 cardiovascular system & hematology Endovascular aneurysm repair 030218 nuclear medicine & medical imaging endovascular aneurysm repair Postoperative Complications 0302 clinical medicine common iliac artery aneurysm Embolization Netherlands ENDOGRAFT ABDOMINAL AORTIC-ANEURYSMS BIFURCATION Middle Aged EMBOLIZATION Embolization Therapeutic Common iliac artery Internal iliac artery Abdominal aortic aneurysm Treatment Outcome Radiology Nuclear Medicine and imaging Iliac Aneurysm REPORTING STANDARDS Female Stents Radiology Cardiology and Cardiovascular Medicine medicine.medical_specialty complications endoleak Prosthesis Design branched stent-graft Blood Vessel Prosthesis Implantation 03 medical and health sciences abdominal aortic aneurysm Aneurysm medicine.artery Journal Article MANAGEMENT medicine Humans Radiology Nuclear Medicine and imaging PRESERVATION iliac artery Aged Retrospective Studies hypogastric artery reintervention REPAIR business.industry branch occlusion medicine.disease mortality Confidence interval Blood Vessel Prosthesis Surgery Regional Blood Flow Concomitant Feasibility Studies STENT-GRAFTS business Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Endovascular Therapy, 24(2), 239-245. International Society of Endovascular Specialists Jongsma, H, Bekken, J A, Bekkers, W J J, Zeebregts, C J, Van Herwaarden, J, Hoksbergen, A, Cuypers, P, De Vries, J P P M, Verhagen, H J & Fioole, B 2017, ' Endovascular treatment of common iliac artery aneurysms with an iliac branch device : Multicenter experience of 140 patients ', Journal of Endovascular Therapy, vol. 24, no. 2, pp. 239-245 . https://doi.org/10.1177/1526602816679132 Journal of Endovascular Therapy, 24(2), 239-245. SAGE Publishing Journal of Endovascular Therapy, 24(2), 239-245. SAGE Publications Inc. Journal of Endovascular Therapy, 24(2), 239. International Society of Endovascular Specialists |
| ISSN: | 1545-1550 1526-6028 |
| DOI: | 10.1177/1526602816679132 |
| Popis: | 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). Results: Technical success (aneurysm exclusion, no type I or III endoleak, and a patent IIA) was obtained in 157 (96.9%) of 162 IBD implantations. Six (4.3%) patients developed major complications; 2 (1.4%) died. Mean follow-up was 26.6 +/- 24.1 months, during which 17 (12.1%) IBD-associated secondary interventions were performed. Including technical failures and intentional IIA embolizations, 15 (9.3%) IIA branch occlusions were identified; buttock claudication developed in 6 of these patients. The freedom from secondary intervention estimate was 75.9% (95% confidence interval 59.7 to 86.3) at 5 years. Conclusion: CIA aneurysms can be treated safely and effectively by IBDs with preservation of antegrade flow to the IIA. Secondary interventions are indicated in > 10% of patients during follow-up but can be performed endovascularly in most. |
| Databáze: | OpenAIRE |
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