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.
Tsilimparis
Nikolaos
N
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
Alevizakos
Pavlos
P
Yousefi
Sharham
S
Laipple
Andreas
A
Hagemann
Jürgen
J
Rogalla
Patrik
P
Hanack
Ulrich
U
Rückert
Ralph I
RI
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