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. 2010 Jul;40(7):343-7.
doi: 10.4070/kcj.2010.40.7.343. Epub 2010 Jul 26.

Endovascular treatment of isolated common iliac artery aneurysms with short necks using bifurcated stent-grafts

Jin Wi  1 , Young-Guk Ko, Jung-Sun Kim, Donghoon Choi, Myeong-Ki Hong, Do-Youn Lee, Yangsoo Jang, Won-Heum Shim
Affiliations

Endovascular treatment of isolated common iliac artery aneurysms with short necks using bifurcated stent-grafts

Jin Wi et al. Korean Circ J. 2010 Jul.

Abstract

Elective surgical repair has traditionally been considered to be the treatment of choice for the exclusion of isolated iliac artery aneurysms (IAAs). Recently, endovascular repair has evolved as an alternative to surgical repair, especially in patients at high surgical risk. However, in the absence of sufficient proximal necks, iliac artery aneurysms are not suitable for direct deployment of a tubular-shaped endograft. Here we report two cases of IAAs with short proximal necks that were excluded using an endovascular bifurcated stent-graft. The bifurcated stent-graft was successfully deployed with complete exclusion of the aneurysm. In neither case was there evidence of procedural failures. There were no signs of significant complications. We conclude that endovascular repair of IAAs with short proximal necks is feasible and efficient using an endovascular bifurcated stent-graft.

Keywords: Endoluminal repair; Iliac aneurysm; Stent.

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Figures

Fig. 1
Fig. 1
A 54-year-old man with renal cell carcinoma. A and C: preprocedural computed tomography and angiography show a 39-mm right common iliac artery aneurysm, which is partially thrombosed (arrows). B and D: postprocedural computed tomography and angiography show the complete exclusion of the aneurysm and accurate positioning of endografts.
Fig. 2
Fig. 2
An 80-year-old man with prostate cancer. A and C: preprocedural computed tomography reconstruction and angiography reveal a 50-mm huge left common iliac artery aneurysm with a short proximal neck (*). B and D: postprocedural computed tomography reconstruction and angiography reveal that bifurcated stent-grafts are patent and aneurysm exclusion is successful with no signs of endoleak or graft migration.
See this image and copyright information in PMC

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