Why the study?
Does the choice of endovascular modality affect the incidence of complications in patients with common iliac artery aneurysms?
Does the choice of endovascular modality affect the incidence of complications in patients with common iliac artery aneurysms?
While limited by a small sample size, iliac branch devices (IBD) may offer the best balance of short- and long-term outcomes for common iliac artery aneurysms compared to bell bottom or coil and cover techniques.
Coil-and-cover should not yet change practice for iliac aneurysms; leaves open optimal endovascular strategy in larger cohorts.
Given the small population size examined in this study, there is no statistical difference between treatment groups; however, there was a trend toward bell bottom technique being associated with higher incidence of type IB endoleak. Coil and cover technique was associated with decreased IB endoleak; however, Buttock claudication and intestinal ischemia occurred more significantly in this group. Using IBD may be the best strategy to improve short- and long-term outcomes in patients with iliac aneurysms.
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Morshed et al. (2023) studied this question.
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