Endovascular Treatment of Iliac Limb Occlusion After Endovascular Repair of Abdominal Aortic Aneurysm
10.3969/j.issn.1009-6604.2023.12.007
- VernacularTitle:腹主动脉瘤腔内修复术后髂支闭塞的腔内处理
- Author:
Shilu ZHAO
1
;
Jingyuan LUAN
;
Yao CHEN
Author Information
1. 北京大学第三医院介入血管外科,北京 100191
- Keywords:
Abdominal aortic aneurysm;
Endovascular aneurysm repair;
Iliac limb occlusion;
Limb ischemia
- From:
Chinese Journal of Minimally Invasive Surgery
2023;23(12):913-918
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of endovascular re-operation on iliac limb occlusion(ILO)after endovascular aneurysm repair(EVAR).Methods Clinical data of 6 patients with ILO after EVAR from March 2018 to March 2023 were retrospectively analyzed.All the patients underwent ipsilateral femoral artery incision with Fogaty balloon thrombectomy and iliac artery balloon dilation,3 of which were combined with stent implantation and 1 of which with popliteal artery thrombectomy of Rotarex.Results The recanalization rate of the 6 patients with iliac branch occlusion was 100%(6/6).The median follow-up time was 24 months(range,6-48 months).The symptoms of lower extremity ischemia disappeared in 5 patients(Rutherford 0 grade).One patient had limb ischemia and dry gangrene(RutherfordⅢgrade).Conclusion It is necessary to carefully analyze the causes and choose personalized endovascular treatment plans for ILO after EVAR.
