Journal of Vascular Surgery
Volume 46, Issue 4 , Pages 648-654 , October 2007

Isolated iliac artery aneurysms: Endovascular versus open elective repair

  • Georgios A. Pitoulias, MD, PhD

      Affiliations

    • “G. Gennimatas” Hospital, Second Surgical Department, Division of Vascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
    • Corresponding Author InformationReprint requests: Georgios A. Pitoulias, MD, PhD, Second Surgical Department, Division of Vascular Surgery, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
    • ,
  • Konstantinos P. Donas, MD

      Affiliations

    • Hospital Porz am Rhein, Center for Vascular Surgery, Academic Teaching Hospital of the University of Cologne, Cologne, Germany.
    • ,
  • Stefan Schulte, MD, PhD

      Affiliations

    • Hospital Porz am Rhein, Center for Vascular Surgery, Academic Teaching Hospital of the University of Cologne, Cologne, Germany.
    • ,
  • Svante Horsch, MD, PhD

      Affiliations

    • Hospital Porz am Rhein, Center for Vascular Surgery, Academic Teaching Hospital of the University of Cologne, Cologne, Germany.
    • ,
  • Dimitrios K. Papadimitriou, MD, PhD

      Affiliations

    • “G. Gennimatas” Hospital, Second Surgical Department, Division of Vascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece

Received 5 February 2007 ,Accepted 30 May 2007.

  • Image Result

    Endovascular treatment of an isolated right common iliac aneurysm. (1) Extension and sizing of the aneurysm (measurements from preoperative computed tomographic scan). (2) Coil embolization of the rig

    Endovascular treatment of an isolated right common iliac aneurysm. (1) Extension and sizing of the aneurysm (measurements from preoperative computed tomographic scan). (2) Coil embolization of the right hypogastric artery using 7-mm spiral coils (VortX; Boston Scientific, Natick, Mass). (3) Proximal type I endoleak after placement of the stent graft (Talent iliac extension 16 × 20 × 105 mm rotated and deployed as 20 mm proximally and 16 mm distally; Medtronic Vascular, Santa Rosa, Calif). (4) Result after proximal Palmaz XL-Stent (Cordis, Miami, Fla) placement without endoleak.

  • Image Result
    Bilateral isolated iliac artery aneurysms: open transperitoneal repair. (a) Multiplanar reformation computed tomographic scan shows the bilateral iliac aneurysms and hypogastric artery’s involvement.

    Bilateral isolated iliac artery aneurysms: open transperitoneal repair. (a) Multiplanar reformation computed tomographic scan shows the bilateral iliac aneurysms and hypogastric artery’s involvement. (b) Schematic depiction of the trifurcated graft placement. (c and d) Intraoperative images of the anastomotic sites.

  • Image Result
    Thirty-six-month graft primary patency rates in patients undergoing endovascular (EVIAR) or open repair of isolated iliac artery aneurysms (Kaplan-Meier life-table analysis, no significant difference;

    Thirty-six-month graft primary patency rates in patients undergoing endovascular (EVIAR) or open repair of isolated iliac artery aneurysms (Kaplan-Meier life-table analysis, no significant difference; P = .938).

 Competition of interest: none.

PII: S0741-5214(07)00977-9

doi: 10.1016/j.jvs.2007.05.047

Journal of Vascular Surgery
Volume 46, Issue 4 , Pages 648-654 , October 2007

Article Tools

* Image Usage & Resolution