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Isolated iliac artery aneurysms.

R A McCready, P C Pairolero, J C Gilmore

    Surgery
    |May 1, 1983
    PubMed
    Summary
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    Isolated iliac artery aneurysms share natural history with other atherosclerotic aneurysms. Early surgical intervention, including resection and reconstruction, is recommended for optimal outcomes.

    Area of Science:

    • Vascular Surgery
    • Atherosclerosis Research
    • Medical History

    Background:

    • Isolated iliac artery aneurysms are uncommon vascular conditions.
    • Understanding their natural history is crucial for patient management.
    • Atherosclerotic aneurysms commonly affect the aorta and peripheral arteries.

    Purpose of the Study:

    • To review the clinical course and outcomes of patients with isolated iliac artery aneurysms.
    • To compare the natural history of iliac artery aneurysms with other atherosclerotic aneurysms.
    • To establish recommendations for the management of these aneurysms.

    Main Methods:

    • Retrospective review of 50 patient records with isolated iliac artery aneurysms (1970-1982).
    • Analysis of patient demographics, aneurysm characteristics, symptoms, treatment, and outcomes.

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  • Follow-up data for patients who did not undergo surgery.

    • Main Results:

    • Most patients were male (47/50), with a mean age of 69.7 years.
    • Aneurysms were predominantly in the common iliac artery (89%), with a mean diameter of 4.7 cm.
    • Rupture occurred in 7 patients (14%), with a low survival rate (3/7); elective surgery had no mortality.

    Conclusions:

    • Isolated iliac artery aneurysms exhibit a natural history similar to other atherosclerotic aneurysms.
    • Symptomatic aneurysms presented with sudden pain, and rupture carried a high mortality.
    • Elective resection and arterial reconstruction are recommended for isolated iliac artery aneurysms.