Key result
Appropriate patient consenting and a multidisciplinary approach are necessary for adjunct internal iliac artery procedures during endovascular abdominal aortic aneurysm repair.
Why the study?
Potential complications of internal iliac artery occlusion during endovascular abdominal aortic aneurysm repair raise concerns regarding patient counselling and medicolegal consequences.
Highlights the need for appropriate patient counseling and a multidisciplinary approach regarding potential complications of adjunct internal iliac artery procedures during EVAR.
May support enhanced consenting and multidisciplinary planning for iliac adjuncts during EVAR; leaves open need for prospective outcome validation.
Adjunct internal iliac artery (IIA) procedures, such as preoperative embolisation or coverage with iliac branch extensions, are not infrequent in the context of endovascular repair of abdominal aortic aneurysms. Moreover, on many occasions, these procedures are performed in a multi-stage approach by interventional radiologists prior to the main operation. Bearing in mind the potential complications of IIA occlusion when revascularization is not initially deemed necessary, various issues arise spanning from appropriate patient counselling to medicolegal consequences. Herein, we aim to provide a roadmap regarding appropriate patient consenting, highlighting the need for multidisciplinary approach of these patients.
No takes yet. Share an insight, caveat, or question.
Seretis et al. (2022) conducted a review in Abdominal aortic aneurysms. Adjunct internal iliac artery procedures was evaluated. Appropriate patient consenting and a multidisciplinary approach are necessary for adjunct internal iliac artery procedures during endovascular abdominal aortic aneurysm repair.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: