ISOLATED COMMON ILIAC ARTERY ANEURYSM WITH SPECIFIC ANATOMICAL CONSIDERATIONS
DOI:
https://doi.org/10.48729/pjctvs.256Abstract
Introduction: Iliac artery aneurysms (IAA) are a rare entity with a prevalence lower than 2% in the general popula- tion involving typically the common iliac artery in 70-90%. Literature describes that bilateral common IAA may be present in approximately 50% of the affected patients.
Case-report: The authors present an 88 years old male patient with an isolated giant IAA, 84mm maximum diameter, diagnosed following a four-month period of lower abdominal discomfort and pelvic hyperemic mass. The IAA was successfully excluded with an endovascular approach with an Aorto-uni-iliac endograft Endurant II (Medtronic Cardiovascular, Santa Rosa, CA, USA) followed by a femorofemoral right to left bypass.
Discussion: Asymptomatic IAA are difficult to identify due to their anatomical location deep within the pelvis but once symptomatic they are associated with a high rate of morbidity and mortality. Their management has evolved toward an endovascular first approach over the past decades, nevertheless, the type of operative repair depends on patient anatomy, clinical stability and the presence of other concomitant aneurysms.
Downloads
References
Levi N, et al. Isolated iliac artery aneurysms. Eur J Vasc Endovasc Surg. 1998;16(4):342–344
Kasulke RJ, et al. Isolated atherosclerotic aneurysms of the internal iliac arteries: report of two cases and re- view of literature. Arch Surg. 1982;117(1):73–77
Richardson JW, et al. Natural history and management of iliac aneurysms. J Vasc Surg. 1988;8:165–171
McCready RA, et al. Isolated iliac artery aneurysms. Surgery. 1983;93(5):688–693
Boules TN, Selzer F, Stanziale SF, Chomic A, Marone LK, Dillavou ED, et al. Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 2006;44:29e3;
Reber PU, Brunner K, Hakki H, Stirnemann P, Kniemeyer HW. Häufigkeit, Klassifikation und Therapie der isolierten Beckenarterienaneurysmen [Incidence, classification and therapy of isolated pelvic artery aneurysm]. Chirurg 2001;72:419e24
Afonso CT, Procópio RJ, Navarro TP, Kleinsorge GHD, Rodrigues BDS, Rodrigues MAG. Aneurisma de artéria ilíaca interna roto: relato de caso. J Vasc Bras. 2009;8(1):92– 96. doi: 10.1590/S1677-54492009005000006
Silva SGJ, Silva MAM, Figueiredo MV, Okamoto GFT, Cardoso RS. Aneurisma Isolado de Artérias Ilíacas-Relato de Caso. Rev Ciên Saúde. 2016;6(1):59–65
Góis EAS, Barbosa MM, Pitta GBB. Aneurisma da artéria ilíaca interna corrigido por embolização e endoprótese. Perspectivas Médicas. 2010;21(1):38–40
Anders Wanhainen, Fabio Verzini, Isabelle Van Herzeele, Eric Allaire, Matthew Bown, Tina Cohnert, Florian Dick, Joost van Herwaarden, Christos Karkos, Mark Koele-may, Tilo Kölbel, Ian Loftus, Kevin Mani, Germano Melissano, Janet Powell, Zoltán Szeberin; Editor’s Choice e European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms; Eur J Vasc Endovasc Surg (2019) 57, 8e93
Boules TN, Selzer F, Stanziale SF, Chomic A, Marone LK, Dillavou ED, Makaroun MS; Endovascular management of isolated iliac artery aneurysms; J Vasc Surg. 2006 Jul; 44(1):29-37
Karthikesalingam A, Holt PJ, Vidal-Diez A, Choke EC, Patterson BO, Thompson LJ, Ghatwary T, Bown MJ, Sayers RD, Thompson MM; Predicting aortic complications after endovascular aneurysm repair; Br J Surg. 2013 Sep; 100(10):1302-11.
Cooper D, Odedra B, Haslam L, Earnshaw JJ; Endovascular management of isolated iliac artery aneurysms; J Cardiovasc Surg (Torino). 2015 Aug; 56(4):579-86
Chaer RA, Barbato JE, Lin SC, Zenati M, Kent KC, McKinsey JF. Isolated iliac artery aneurysms: a contemporary comparison of endovascular and open repair. J Vasc Surg 2008; 47:708e13
Buck DB, Bensley RP, Darling J, Curran T, McCallum JC, Moll FL, et al. The effect of endovascular treatment on isolated iliac artery aneurysm treatment and mortality. J Vasc Surg 2015;62:331e5.
Patel NV, Long GW, Cheema ZF, Rimar K, Brown OW, Shanley CJ. Open vs. endovascular repair of isolated iliac artery aneurysms: a 12-year experience. J Vasc Surg 2009;49:1147e53
Bekdache K, Dietzek AM, Cha A, Neychev V. Endovascular hypogastric artery preservation during endovascular aneurysm repair: a review of current techniques and devices. Ann Vasc Surg 2015;29:367e76
