Isolated iliac artery aneurysms:analysis of clinical diagnosis and treatment of 6 patients
10.3969/j.issn.1008-794X.2024.10.014
- VernacularTitle:孤立性髂动脉瘤6例临床诊疗分析
- Author:
Bolin DU
1
;
Peng LIU
;
Minfang SONG
Author Information
1. 272000 山东济宁 济宁医学院临床医学院
- Keywords:
isolated iliac artery aneurysm;
endovascular isolation with covered stent;
iliac artery branch stenting;
endoleak
- From:
Journal of Interventional Radiology
2024;33(10):1116-1120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical diagnosis and treatment of isolated iliac artery aneurysms(IIAA).Methods The clinical data and therapeutic process of 6 patients,who were diagnosed as IIAA at the Affiliated Hospital of Jining Medical College of China from January 2020 to September 2023,were retrospectively analyzed.Of the 6 patients,4 were male and 2 were female,with a mean age of(72.3±5.3)years(range of 64-79 years).Results Successful operation was accomplished in all the 6 patients.Interventional treatment was adopted in 5 patients and open surgery was carried out in one patient.Five patients received interventional embolization of the affected internal iliac artery,and one patient received reconstruction of internal iliac artery by using stenting technique through iliac artery branch approach.No endoleak of type Ⅰ or type Ⅱ occurred.After treatment,none of the patients developed complications such as puncture-point bleeding,gluteal claudication,colonic ischemia,or spinal cord ischemia.Conclusion Interventional therapy has the advantages of less damage,less bleeding,quick recovery,fewer complications,shorter hospital stay and lower mortality,which has gradually replaced the traditional surgery in clinical practice and has become the primary treatment approach for IIAA.
