Endovascular therapeutic options for the treatment of aortoiliac aneurysms.

About 20% of patients with abdominal aortic aneurysms have associated iliac aneurysms. Distal sealing during the endovascular treatment of aortic-iliac aneurysms is a challenge that has led to the emergence of several technical options to achieve this goal over the years. Internal iliac artery embolization is associated with the risk of ischemic complications, such as gluteal necrosis, lower limb neurological deficit, colonic ischemia, impotence and gluteal claudication. This article summarizes the technical options for endovascular treatment of aortoiliac aneurysms with different approaches to preserving the patency of internal iliac arteries.

[1]  P. Cao,et al.  Early experience with the Excluder® iliac branch endoprosthesis. , 2014, The Journal of cardiovascular surgery.

[2]  L. B. D. Fonseca,et al.  Management of aortoiliac aneurysms by retrograde endovascular hypogastric artery preservation , 2014, Vascular.

[3]  A. Lobato,et al.  The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms: results of midterm follow-up. , 2013, Journal of vascular surgery.

[4]  D. Böckler,et al.  Decision-making and techniques in hypogastric artery revascularization. , 2013, The Journal of cardiovascular surgery.

[5]  Florentino Vega García,et al.  Use of aortic extension cuffs for preserving hypogastric blood flow in endovascular aneurysm repair with aneurysmal involvement of common iliac arteries. , 2013, Annals of vascular surgery.

[6]  M. Aleksić,et al.  Novel chimney-graft technique for preserving hypogastric flow in complex aortoiliac aneurysms. , 2012, The Journal of cardiovascular surgery.

[7]  T. Bisdas,et al.  Technical Considerations and Performance of Bridging Stent-Grafts for Iliac Side Branched Devices Based on a Pooled Analysis of Single-Center Experiences , 2012, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[8]  G. Oderich,et al.  Pelvic revascularization during endovascular aortic aneurysm repair. , 2012, Perspectives in vascular surgery and endovascular therapy.

[9]  R. Kolvenbach,et al.  Modified "stent-graft sandwich" technique for treatment of isolated common iliac artery aneurysm in patient with Marfan syndrome. , 2012, Annals of vascular surgery.

[10]  M. Eskandari,et al.  A comparative study of the bell-bottom technique vs hypogastric exclusion for the treatment of aneurysmal extension to the iliac bifurcation. , 2012, Journal of vascular surgery.

[11]  F Verzini,et al.  Long-term results of iliac aneurysm repair with iliac branched endograft: a 5-year experience on 100 consecutive cases. , 2012, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[12]  S. Friedman,et al.  Hypogastric preservation with Viabahn stent graft during endovascular aneurysm repair. , 2011, Journal of vascular surgery.

[13]  N. Mosquera-Arochena,et al.  Use of modified Sandwich-graft technique to preserve hypogastric artery in EVAR treatment of complex aortic aneurysm anatomy. , 2011 .

[14]  K. Donas,et al.  Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation. , 2011, Journal of vascular surgery.

[15]  R. Fairman,et al.  Aneurysmal iliac arteries do not portend future iliac aneurysmal enlargement after endovascular aneurysm repair for abdominal aortic aneurysm. , 2011, Journal of vascular surgery.

[16]  A. Lobato.  Sandwich Technique for Aortoiliac Aneurysms Extending to the Internal Iliac Artery or Isolated Common/Internal Iliac Artery Aneurysms: A New Endovascular Approach to Preserve Pelvic Circulation , 2011, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[17]  N. M. Mosquera Arochena,et al.  Use of modified Sandwich-graft technique to preserve hypogastric artery in EVAR treatment of complex aortic aneurysm anatomy. , 2011, The Journal of cardiovascular surgery.

[18]  N. Osada,et al.  Endovascular Treatment of Common Iliac Artery Aneurysms Using the Bell-Bottom Technique: Long-term Results , 2010, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[19]  M. Marques,et al.  Internal iliac artery branch stent grafting for aortoiliac aneurysms using the Apollo branched device. , 2010, Annals of vascular surgery.

[20]  A. Karthikesalingam,et al.  Morphological Suitability of Patients with Aortoiliac Aneurysms for Endovascular Preservation of the Internal Iliac Artery Using Commercially Available Iliac Branch Graft Devices , 2010, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[21]  L. Lanziotti,et al.  Technical aspects and midterm patency of iliac branched devices. , 2010, Journal of vascular surgery.

[22]  A. Karthikesalingam,et al.  Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. , 2010, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[23]  David M. Williams,et al.  Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair. , 2008, Journal of vascular surgery.

[24]  P. Desgranges,et al.  Is hypogastric artery embolization during endovascular aortoiliac aneurysm repair (EVAR) innocuous and useful? , 2008, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[25]  C. McCollum,et al.  Endovascular Aortic Aneurysm Repair with the Talent Stent-Graft: Outcomes in Patients with Large Iliac Arteries , 2008, Cardiovascular and Interventional Radiology.

[26]  S. Hoshino,et al.  Bifurcated Endovascular Graft for Abdominal Aortic Aneurysm Repair: A Multi-Center Trial of the PowerWeb System , 2004 .

[27]  C. Engelke,et al.  Internal iliac artery embolization with bilateral occlusion before endovascular aortoiliac aneurysm repair-clinical outcome of simultaneous and sequential intervention. , 2002, Journal of vascular and interventional radiology : JVIR.

[28]  R. Disalle,et al.  Bell-bottom aortoiliac endografts: an alternative that preserves pelvic blood flow. , 2002, Journal of vascular surgery.

[29]  R. McLafferty,et al.  Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair. , 2001, Journal of vascular surgery.

[30]  P. Puech-Leão.  Banding of the common iliac artery: an expedient in endoluminal correction of aortoiliac aneurysms. , 2000, Journal of vascular surgery.

[31]  R. Fairman,et al.  Safety of coil embolization of the internal iliac artery in endovascular grafting of abdominal aortic aneurysms. , 2000, Journal of vascular surgery.

[32]  F. Veith,et al.  Hypogastric artery coil embolization prior to endoluminal repair of aneurysms and fistulas: buttock claudication, a recognized but possibly preventable complication. , 2000, Journal of vascular and interventional radiology : JVIR.

[33]  S. Nicholls,et al.  Internal to external iliac artery stent-graft: a new technique for vessel exclusion. , 1999, Journal of vascular and interventional radiology : JVIR.

[34]  P. Walker,et al.  Clinical experience with a bifurcated endovascular graft for abdominal aortic aneurysm repair. , 1996, Journal of vascular surgery.

[35]  R. Takolander,et al.  Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. , 1989, Journal of vascular surgery.