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Endovascular treatment of iliac aneurysms with covered stents

F Cormier1, A Al Ayoubi, D Laridon

  • 1Service de Chirurgie, Cliniques de la Défense, Nanterre, et Bizet, Paris, France.

Annals of Vascular Surgery
|December 29, 2000
PubMed

Insights

Endovascular repair of iliac aneurysms using covered stents shows high technical success. However, this endovascular treatment often necessitates exclusion of the internal iliac artery.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Endovascular Therapy

Background:

  • Iliac aneurysms pose a significant risk of rupture and complications.
  • Endovascular techniques offer a less invasive alternative to open surgical repair.
  • Covered stents provide a reliable method for aneurysm exclusion.

Purpose of the Study:

  • To evaluate the outcomes of endovascular treatment for iliac aneurysms using covered stents.
  • To assess the technical success and complication rates associated with this procedure.
  • To analyze the impact on internal iliac artery patency.

Main Methods:

  • Retrospective analysis of 34 iliac aneurysms treated with covered endovascular stents.
  • Inclusion of isolated, post-aortic repair, and false anastomotic aneurysms.
  • Evaluation of stent deployment success, aneurysm exclusion, and procedure duration.

Main Results:

  • High technical success rate (97.6%) with successful aneurysm exclusion in all cases.
  • Mean procedure time was 45 minutes.
  • Internal iliac artery patency was preserved in only 4 cases, with exclusion in 24 cases.

Conclusions:

  • Endovascular treatment of iliac aneurysms with covered stents yields good short- and middle-term results.
  • This approach typically requires exclusion of the internal iliac artery.
  • Covered stents are an effective option for managing complex iliac artery pathologies.

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