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Experience with the GORE EXCLUDER iliac branch endoprosthesis for common iliac artery aneurysms

Steven M M van Sterkenburg1, Jan M M Heyligers2, Mathijs van Bladel1

  • 1Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.

Journal of Vascular Surgery
|May 28, 2016
PubMed

Insights

The GORE EXCLUDER iliac branch endoprosthesis (IBE) shows high procedural success and patency rates for common iliac artery (CIA) aneurysms. This new device offers promising short-term outcomes with low reintervention rates.

Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aneurysm Treatment

Background:

  • Common iliac artery (CIA) aneurysms pose a significant treatment challenge.
  • Endovascular repair offers a less invasive approach compared to open surgery.

Purpose of the Study:

  • To evaluate the procedural success and early outcomes of the GORE EXCLUDER iliac branch endoprosthesis (IBE) for CIA aneurysms.
  • To assess the safety and efficacy of this novel endovascular device.

Main Methods:

  • A multicenter retrospective cohort analysis involving 13 sites.
  • Data from 46 patients (51 CIA aneurysms) treated with IBE between November 2013 and December 2014 were analyzed.
  • Assessment included anatomic, demographic, procedural, and follow-up data.

Main Results:

  • Procedural success rate was 93.5% with two type Ib endoleaks that resolved spontaneously.
  • No 30-day mortality was observed; complications like buttock claudication and erectile dysfunction were infrequent.
  • At 6-month follow-up, 15 out of 17 aneurysms showed a mean diameter decrease, with a 94% primary patency rate for the IBE internal component.

Conclusions:

  • The GORE EXCLUDER IBE demonstrates high procedural success, excellent patency, and low reintervention rates in short-term follow-up for CIA aneurysms.
  • Further prospective studies with longer follow-up are needed to define its definitive role in treatment algorithms.
Abstract

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