Key result
Endovascular repair using a Zenith iliac branch device successfully maintained internal iliac artery blood flow and reduced aneurysm size without complications in two patients over 1.5 years.
Case Report (n=2)
No
The use of an iliac branch device during endovascular repair of abdominal aortic aneurysms with iliac involvement is effective in maintaining internal iliac artery blood flow.
Supports iliac branch device feasibility in select aortoiliac aneurysms; leaves open efficacy and durability questions pending larger studies.
We report on treatment of an abdominal aortic aneurysm with common iliac artery aneurysm using an iliac branch device. We performed 2 cases because of a large common iliac artery aneurysm or a complication of an internal iliac artery aneurysm. Both cases had a good postoperative course and progressed without embolizing the iliac branch device during follow-up period. Though there is a drawback, it is not covered by the national insurance program in Japan and cannot be used in all applicable cases. However, use of a unilateral or bilateral iliac branch device allows us to maintain the bloodstream of the internal iliac artery, thus suggesting it to be effective in such cases.
No takes yet. Share an insight, caveat, or question.
Kazuno et al. (2012) conducted a case report in Abdominal aortic aneurysm with common iliac artery aneurysm (n=2). Endovascular repair using Zenith Iliac Bifurcation Graft (iliac branch device) was evaluated on Postoperative course, aneurysm reduction, and patency of iliac branch device. Endovascular repair using a Zenith iliac branch device successfully maintained internal iliac artery blood flow and reduced aneurysm size without complications in two patients over 1.5 years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: