Endovascular Treatment of Isolated Common Iliac Artery Aneurysms With Short Necks Using Bifurcated Stent-Grafts.
10.4070/kcj.2010.40.7.343
- Author:
Jin WI
1
;
Young Guk KO
;
Jung Sun KIM
;
Donghoon CHOI
;
Myeong Ki HONG
;
Do Youn LEE
;
Yangsoo JANG
;
Won Heum SHIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. ygko@yuhs.ac
- Publication Type:Case Report
- Keywords:
Iliac aneurysm;
Stent;
Endoluminal repair
- MeSH:
Aneurysm;
Angioplasty;
Humans;
Iliac Aneurysm;
Iliac Artery;
Neck;
Stents
- From:Korean Circulation Journal
2010;40(7):343-347
- CountryRepublic of Korea
- Language:English
-
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.