Clinical Analysis of the Treatment of Iliac Limb Occlusion Following Endovascular Abdominal Aortic Aneurysm Repair.
10.3881/j.issn.1000-503X.14017
- Author:
Jiang SHAO
1
;
Zhi-Chao LAI
1
;
Xiao-Jun SONG
1
;
Zhi-Li LIU
1
;
Rong ZENG
1
;
Yue-Xin CHEN
1
;
Yue-Hong ZHENG
1
;
Bao LIU
1
Author Information
1. Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
- Publication Type:Journal Article
- Keywords:
abdominal aortic aneurysm;
endovascular repair;
iliac limb occlusion;
percutaneous mechanical thrombectomy
- MeSH:
Aortic Aneurysm, Abdominal/surgery*;
Blood Vessel Prosthesis;
Blood Vessel Prosthesis Implantation/adverse effects*;
Endovascular Procedures;
Humans;
Iliac Artery/surgery*;
Retrospective Studies;
Risk Factors;
Stents;
Treatment Outcome
- From:
Acta Academiae Medicinae Sinicae
2021;43(6):917-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the cause and the treatment strategies of iliac limb occlusion after endovascular abdominal aortic aneurysm repair(EVAR). Methods The patients receiving EVAR in PUMC Hospital from January 2015 to December 2020 were retrospectively analyzed.Sixteen(2.7%)cases of iliac limb occlusion were identified,among which 6,9,and 1 cases underwent surgical bypass,endovascular or hybrid procedure,and conservative treatment,respectively. Results Fifteen cases were successfully treated.During the 10.6-month follow-up,2 cases receiving hybrid treatment underwent femoral-femoral bypass due to re-occlusion of the iliac limb. Conclusions Iliac limb occlusion mostly occurs in the acute phase after EVAR,and endovascular or hybrid treatment can be the first choice for iliac limb occlusion.It is suggested to focus on the risk factors for prevention.
