Key result
Extended EVAR for complex aorto-iliac aneurysms avoids open surgical conversion but is linked to buttock claudication.
Why the study?
When endovascular aneurysm repair must be extended to the external iliac artery, the decision regarding additional intervention in the internal iliac artery remains controversial.
Population
28 patients who underwent EVAR extended to the EIA
Design
Case series
Follow-up
Varied between 2 days and 26 months
Authors
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May support endovascular external iliac extension without conversion in select cases; leaves open durability and complication management in prospective studies.
Observational (n=28)
No
Endovascular treatment of complex aorto-iliac aneurysms extended to the external iliac artery is feasible and avoids open surgery, though buttock claudication remains a common complication.
Özer et al. (2021) conducted an observational in Complex aorto-iliac aneurysms (n=28). Endovascular aortic repair (EVAR) extended to the external iliac artery was evaluated on Interventional success, presence of leakage, and complications related to internal iliac artery occlusion. Endovascular repair of complex aorto-iliac aneurysms requiring external iliac artery extension was achieved without open surgical conversion, with 4 endoleaks and 8 cases of buttock claudication.
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