Endovascular repair as first-choice treatment for anastomotic and true iliac aneurysms.
OBJECTIVE
To report our experience with the endovascular repair of iliac aneurysms secondary to aortoiliac bypass grafting.


METHODS
Thirteen patients (12 men; age range 62-86 years) with histories of aortoiliac reconstructions were treated with endovascular stent-grafts for 11 false and 2 true iliac aneurysms that averaged 5.2 cm in diameter (range 3.0-7.0). Via a percutaneous access and 9-F or 12-F sheaths, Passager or Wallgraft stent-grafts were delivered to exclude the aneurysms.


RESULTS
Twelve (92%) of 13 interventions were completed satisfactorily; 1 procedure for a true iliac aneurysm was converted to traditional bypass grafting. Two patients underwent additional surgical procedures. The average hospital stay for the patients with endovascular repairs only was 3 days (range 2-5). After a mean follow-up of 28 months (range 17-40), no complication or endoleak has been detected in any patient, and all endografts are patent.


CONCLUSIONS
Endovascular repair is an effective treatment for secondary aneurysms arising after aortoiliac surgery. It is less invasive and involves a shorter hospital stay. Endovascular repair should be the first choice treatment for iliac aneurysms.
Curti
T
T
Section of Vascular Surgery, University of Bologna, Azienda Ospedaliera di Bologna S. Orsola Malpighi, Italy. serchiva@med.unibo.it
Stella
A
A
Rossi
C
C
Galaverni
C
C
Saccà
A
A
Resta
F
F
D'Addato
M
M
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001163:Arteriovenous Anastomosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015607:Stents; D014656:Vascular Surgical Procedures