Key result
Iliac bifurcated devices achieve 100% technical success without mortality or morbidity in aortoiliac aneurysms.
Why the study?
Is the use of an iliac bifurcated device safe and technically feasible for preserving the internal iliac artery in patients with aortoiliac aneurysms?
Case Report (n=4)
No
Is the use of an iliac bifurcated device safe and technically feasible for preserving the internal iliac artery in patients with aortoiliac aneurysms?
The use of an iliac bifurcated device for aortoiliac aneurysms is technically feasible and safe in the mid-term for preserving the internal iliac artery.
One of the predominant methods for preserving the internal iliac artery (IIA) in aortoiliac aneurysms is to use an iliac bifurcated device (IBD). However, there are a few limitations to the use of IBD in Korea. Our study aims to present the technical aspects of these devices, and to provide a mid-term analysis of IBD. Since 2013, 4 IBDs were used in 4 patients, with a mean follow-up of 14 months (range, 6-22 months). A 100% technical success rate was achieved without mortality and morbidity in our cases. The mean procedural time was 176 min (range, 145-240 min), and the mean contrast dose used was 184 mL (range, 135-220 mL). Type I or III endoleaks and postoperative expansion of the aneurysms weren't observed. Our cases demonstrates that IBD is a relatively safe repair method of aortoiliac aneurysms with preservation of the IIAs. However, a longer follow-up is needed to review the midterm results.
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Kim et al. (2015) conducted a case report in Aortoiliac aneurysm (n=4). Iliac bifurcated device (IBD) was evaluated on Technical success. The use of an iliac bifurcated device for aortoiliac aneurysms achieved a 100% technical success rate without mortality or morbidity over a mean follow-up of 14 months.
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