Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side branch device
Received 23 January 2007; accepted 14 March 2007.
Objective
To present our initial experience with the Zenith bifurcated iliac side branch device that preserves internal iliac artery flow whilst excluding aorto-iliac aneurysms.
Methods
Between November 2005 and October 2006, data was prospectively collected on 8 patients in whom this device was used; 2 aorto-bi-iliac aneurysms, 3 aorto-uni-iliac aneurysms, 1 solitary common iliac aneurysm, 1 distal type 1 endoleak, and 1 internal iliac aneurysm.
Results
No mortality or major complications resulted from use of this device. The median fluoroscopy time was 53 minutes (range 38 to 105) and a median of 102 g of iodine (range 84 to 130) as contrast were used. One patient required a blood transfusion and only one of the eight side branches occluded. There has been no endoleak related to the device in the median follow-up period of 6 months (1 to 14 months).
Conclusion
This device provides an alternative for the management of patients with aorto-iliac aneurysms that is safe and less complex than, previously described, hybrid procedures that preserve internal iliac flow.
John Hunter Hospital and Lake Macquarie Private Hospital, Newcastle, New South Wales, Australia.
Reprint requests: Ferdinand Serracino-Inglott, MD, Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, United Kingdom.
1 Dr Serracino-Inglott has been appointed as the European proctor for the Zenith Iliac Bifurcation Device by Cook Europe.
ABSTRACT