State of the art: management of iliac artery aneurysmal disease.
Although relatively uncommon, isolated iliac artery aneurysms are associated with significant risk of rupture and death. Clinical presentation can be confusing and ultrasound or CT imaging is paramount in establishing the diagnosis and anatomical extent of disease. Important considerations prior to intervention include determination of proximal neck, involvement of the internal iliac artery, and status of the contralateral internal iliac artery. Endovascular repair has evolved as the first choice treatment option for patients with anatomically suitable iliac artery aneurysms. In uncommon circumstances when endovascular treatment may result in significant pelvic ischemia or the primary symptoms are related to extrinsic compression of adjacent structures, surgical repair may be the preferred option.
Bacharach
J Michael
JM
Departments of Vascular Medicine and Cardiology, North Central Heart Institute, Sioux Falls, South Dakota 57108, USA. jhatch@ncheart.com
Slovut
David P
DP
D017542:Aneurysm, Ruptured / Q000209:etiology / Q000473:pathology / Q000517:prevention & control*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D018450:Disease Progression; D004621:Embolization, Therapeutic / Q000009:adverse effects; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008026:Ligation; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation