Treatment of internal iliac artery aneurysms: single-centre experience.
BACKGROUND
The aim of the present study was to analyse the short-term results of treatment of internal iliac artery aneurysms (IIAA).


METHODS
In a prospective single-centre cohort study all patients with IIAA (symptomatic or maximal diameter >/=30 mm) were evaluated for endovascular repair, which included coil embolization of the run-off vessels and coverage of the orifice of the IIAA with a stent graft. Open repair was performed with aneurysm excision or aneurysmorrhaphy. Outcome criteria were technical and clinical success and complications of treatment.


RESULTS
In a period of 40 months 11 patients underwent operation for 12 IIAA. Nine aneurysms were repaired endovascularly and three with open repair. Coil embolization was routinely performed in all cases. At a median follow up of 18 months, technical and clinical success was 100%. Major complications included two early limb thromboses, a contrast-agent-induced nephropathy, and an intraoperative ureteric injury.


CONCLUSIONS
Despite the limited number of patients, the present series, with good short-term results, further supports the trend towards endovascular repair of suitable IIAA.
Department of General, Visceral, Vascular and Thoracic Surgery, Charité Campus Mitte, Affiliated Hospital of Charité, University of Medicine, Charitéplatz 1, Berlin, Germany. nikolaos.tsilimparis@charite.de
Nikolaos
N
Tsilimparis
Pavlos
P
Alevizakos
Sharham
S
Yousefi
Andreas
A
Laipple
Jürgen
J
Hagemann
Patrik
P
Rogalla
Ulrich
U
Hanack
Ralph I
RI
Rückert
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D015607:Stents; D014656:Vascular Surgical Procedures