title: Balloon embolization of the internal iliac artery before aneurysm endograft deployment.
abstract: Six patients, ranging from 69 to 81 years of age, underwent iliac artery embolization with use of Detachable Silicon Balloons (DSB) 11-14 days before stent-graft repair of aneurysms. Balloons of 8.8-mm, 9.4-mm, and 9.9-mm sizes were used with 20-30 g of release force. Deployment difficulty was experienced in three cases. Five of six cases were successful, with the iliac artery remaining occluded at the time of endografting; one case required subsequent coil replacement. The average operative time for balloon embolization (75 min +/- 28) was shorter than that in 18 cases of coil embolization performed within the same time period (111 min +/- 105), but the difference was not significant (P = .21). Postoperatively, one patient (17%) reported buttock claudication after the procedure. Use of the DSB represents an alternative to use of coils for embolization of large and tortuous iliac arteries.
authors.affiliation: Division of Interventional Radiology, 1 Silverstein, 3400 Spruce Street, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
authors.forename: A
authors.initials: A
authors.lastname: Chong
authors.forename: M C
authors.initials: MC
authors.lastname: Soulen
authors.forename: R A
authors.initials: RA
authors.lastname: Baum
authors.forename: R D
authors.initials: RD
authors.lastname: Shlansky-Goldberg
authors.forename: D C
authors.initials: DC
authors.lastname: Yee
authors.forename: J P
authors.initials: JP
authors.lastname: Carpenter
authors.forename: R M
authors.initials: RM
authors.lastname: Fairman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D017544:Aortic Aneurysm, Abdominal / Q000628:therapy; D021721:Balloon Occlusion / Q000379:methods*; D001807:Blood Vessel Prosthesis; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D011183:Postoperative Complications; D012825:Silicon; D015607:Stents
chemical_list: D012825:Silicon