Clinical application of G-iliac? iliac branch device in the treatment of common iliac artery aneurysm
10.3760/cma.j.cn115396-20221016-00334
- VernacularTitle:应用G-iliac?髂动脉分支支架治疗髂总动脉瘤的临床应用分析
- Author:
Wenrui LI
1
;
Hai FENG
;
Zhiwen ZHANG
;
Bin LIU
;
Hongzhi YU
;
Xiang GAO
;
Zhe ZHANG
;
Xueming CHEN
Author Information
1. 首都医科大学附属北京友谊医院血管外科,北京 100050
- Keywords:
Aortic aneurysm;
Iliac aneurysm;
Stents
- From:
International Journal of Surgery
2023;50(7):464-468,C2
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the safety and efficacy of G-iliac? iliac branch device (IBD) in the treatment of common iliac artery aneurysm.Methods:The clinical data of 7 patients with common iliac artery aneurysm who were treated with G-iliac? IBD and internal iliac artery (IIA) preserved were retrospectively analyzed in the Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University from June 2021 to June 2022, and the surgical effects and related complications were analyzed.Results:All 7 patients were male, aged from 57 to 80 years, with an average age of 70.9 years. There were 6 cases of abdominal aortic aneurysm combined with common iliac artery aneurysm and 1 case of simple common iliac artery aneurysm, all of them were successfully applied with G-iliac? IBD to preserve IIA. Cardiogenic shock occurred in 1 patient after the operation. 7 patients were followed up for 3-15 months, with an average of 8 months. During the follow-up period, the iliac artery and IIA stents were all patency, and there was no IBD-related endoleak, stent displacement, buttock claudication, sexual dysfunction, or aortic-related death. The diameter of abdominal aortic aneurysm and common iliac artery aneurysm were stable.Conclusion:For patients with common iliac artery aneurysm, preservation of IIA with G-iliac? IBD is a safe and effective technique with a high technical success rate and IIA patency rate, and has a low complication rate, but the long-term effect still requires more data and longer follow-up data to support.