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Published on: May 14, 2020
[Isolated iliac artery aneurysms : Interventional treatment].
T Pfammatter1, A Kobe2, M L Lachat3
1Institut für Diagnostische und Interventionelle Radiologie, Universitatsspital Zürich, Rämistraße 100, 8091, Zürich, Österreich. Thomas.Pfammatter@usz.ch.
Iliac artery aneurysms, often found in older men, pose a rupture risk. Endovascular repair is the primary treatment, but long-term monitoring is crucial for safety.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Isolated iliac artery aneurysms are rare, primarily affecting older men.
- Most are asymptomatic, detected incidentally, but >3 cm diameters risk rupture, leading to high morbidity and mortality.
Purpose of the Study:
- To review the current endovascular treatment strategies for iliac artery aneurysms.
- To highlight the importance of imaging follow-up in managing these conditions.
Main Methods:
- Endovascular aneurysm exclusion using stent grafts is the primary approach.
- Adjunctive internal iliac artery embolization may be employed based on patient anatomy.
Main Results:
- Endovascular treatment offers decreased morbidity and mortality compared to open repair.
- Up to 25% of patients may require long-term endovascular revisions.
Conclusions:
- Endovascular repair is the preferred method for iliac artery aneurysms.
- Reliable imaging follow-up is essential to enhance the safety of endovascular iliac artery aneurysm repair.
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