Key result
Endovascular treatment appears safe and effective for iliac artery aneurysms but requires long-term surgical comparison.
Why the study?
Endovascular treatment is an emerging alternative to surgery for iliac artery aneurysms, but large, long-term follow-up studies are needed to assess its practicality compared to open surgery.
Does endovascular treatment provide a safe and effective alternative to open surgery for patients with iliac artery aneurysms?
Does endovascular treatment provide a safe and effective alternative to open surgery for patients with iliac artery aneurysms?
Answers are grounded in this paper and cite their sources.
Endovascular treatment offers a safe and effective minimally invasive alternative to open surgery for iliac artery aneurysms, guided by preprocedural imaging and classification.
Endovascular treatment is now an alternative to surgery for the treatment of iliac artery aneurysms (IAAs). A variety of minimally invasive therapeutic options are available (eg, coil embolization, stent-graft placement), and choosing an appropriate option is essential for achieving excellent long-term results and reducing potential complications. Preprocedural imaging with multi-detector row computed tomography or magnetic resonance imaging is necessary for evaluating patient eligibility and planning the interventional procedure. An imaging classification system for IAAs that is based on anatomic features and endovascular treatment options has been developed and may help determine therapeutic strategies for affected patients. Early experience indicates that endovascular treatment is safe and effective in treating IAAs, and it is expected that various devices that will make endovascular treatment easier to perform will soon become commercially available. However, large, long-term follow-up studies will be needed to determine whether this approach is a practical alternative to open surgery.
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Sakamoto et al. (2005) conducted a review in Iliac artery aneurysms. Endovascular treatment vs. Open surgery was evaluated. Endovascular treatment appears safe and effective for iliac artery aneurysms, though large, long-term follow-up studies are needed to determine if it is a practical alternative to open surgery.
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