Transfemoral endovascular repair of iliac artery aneurysms.
OBJECTIVE
This report evaluates the application of transfemoral endovascular repair of iliac artery aneurysms.


METHODS
Over a 20-month period, 11 patients with serious comorbid illnesses and a total of 14 iliac artery aneurysms were treated with endovascular grafts composed of polytetrafluoroethylene conduits combined with balloon expandable iliac artery stents (Palmaz). Nine right common, 3 left common, and 2 right internal iliac artery aneurysms were treated. The patients were men between 58 and 89 years of age (mean 72). Eight patients had isolated aneurysms and 3 had multiple iliac artery aneurysms.


RESULTS
Endovascular iliac grafts were successfully placed in all 11 patients. No procedural deaths occurred. Follow-up ranged from 3 to 21 months (mean 11). No acute or late graft thromboses occurred.


CONCLUSIONS
Transluminally placed endovascular stented grafts can be used to successfully exclude iliac artery aneurysms from the circulation while maintaining lower-extremity arterial perfusion. However, longer follow-up in more patients is necessary to confirm the durability of this technique.
Marin
M L
ML
Department of Surgery, Montefiore Medical Center, University Hospital, Albert Einstein College of Medicine, New York, New York 10467, USA.
Veith
F J
FJ
Lyon
R T
RT
Cynamon
J
J
Sanchez
L A
LA
D000368:Aged; D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis; D005500:Follow-Up Studies; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D015607:Stents; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene