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Isolated iliac artery aneurysms

N Levi1, T V Schroeder

  • 1Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|November 18, 1998
PubMed
Summary
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Surgery for isolated iliac artery aneurysms is dangerous, often requiring substantial blood transfusions. Despite significant blood loss, a low perioperative mortality rate is achievable with adequate blood availability.

Area of Science:

  • Vascular Surgery
  • Aneurysm Research

Background:

  • Isolated iliac artery aneurysms are rare but serious vascular conditions.
  • These aneurysms can present with symptoms or rupture, posing significant risks.

Purpose of the Study:

  • To evaluate the surgical outcomes for isolated iliac artery aneurysms.
  • To determine the blood transfusion requirements during these procedures.

Main Methods:

  • A retrospective review of 12 patients who underwent arterial reconstructive procedures for isolated iliac aneurysms between 1989 and 1995.
  • Inclusion criteria focused on aneurysms limited to the common, external, or internal iliac arteries.

Main Results:

  • Eleven of twelve patients experienced symptoms, with five cases of aneurysm rupture.

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  • The most frequent surgical approach was aneurysmorrhaphy with graft interposition.
  • Median blood transfusion was 11 units (range 1-30), with a median intraoperative blood loss of 4700 ml (range <500-13,000 ml).
  • Conclusions:

    • Isolated iliac artery aneurysms represent a high-risk surgical scenario.
    • Achieving low perioperative mortality necessitates preparedness for massive blood transfusion.