Fate of Iliac Arteries Following Open Abdominal Aortic Aneurysm Repair

Iliac artery aneurysms are a frequent finding in patients with abdominal aortic aneurysms. The decision of whether to perform a tubular or bifurcated repair rests on a balance between the natural history of the iliac arteries during the lifetime of the patient versus the risk of symptomatic pelvic i...

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Bibliographic Details
Published in:Seminars in vascular surgery 2009-06, Vol.22 (2), p.99-101
Main Authors: Bruen, Kevin J., MD, Lee, W. Anthony, MD
Format: Article
Language:English
Subjects:
Algorithms
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - pathology
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Disease Progression
Humans
Iliac Aneurysm - complications
Iliac Aneurysm - pathology
Iliac Aneurysm - surgery
Prosthesis Design
Risk Assessment
Surgery
Time Factors
Treatment Outcome
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Summary:Iliac artery aneurysms are a frequent finding in patients with abdominal aortic aneurysms. The decision of whether to perform a tubular or bifurcated repair rests on a balance between the natural history of the iliac arteries during the lifetime of the patient versus the risk of symptomatic pelvic ischemia and the increased complexity of a bifurcated repair. The relatively recent increase in the use of cross-sectional imaging, especially in the setting of long-term endograft surveillance, has provided useful data on which to base these clinical decisions. A tube graft repair appears to be safe and durable in patients undergoing open aneurysm repair, when suitable distal aortic anatomy and normal iliac arteries are present. A bifurcated graft should be considered in younger patients with moderate sized iliac aneurysms (
ISSN:0895-7967
1558-4518
DOI:10.1053/j.semvascsurg.2009.04.003