Abstract
Purpose
Internal iliac artery (IIA) embolisation is commonly performed prior to endovascular aneurysm repair (EVAR) of aortoiliac aneurysms to prevent type 2 endoleaks via the internal iliac arteries. The safety of this procedure is controversial due to the high incidence of pelvic ischaemic complications.
Methods
We undertook a retrospective review of all patients undergoing IIA embolisation before EVAR from 2002 to 2012, to determine incidence of, and factors associated with pelvic ischaemia.
Results
Eight of 25 patients (32 %) experienced new-onset ischaemia, including erectile dysfunction (4 %), and buttock claudication (28 %) that persisted >6 months in only four patients (16 %). Both bilateral IIA embolisation and a shorter time interval to EVAR correlate with increased risk (p = 0.006 and p = 0.044). No co-morbidities or demographic factors were predictive.
Conclusions
We conclude that IIA embolisation remains a beneficial procedure, however, to minimise the risk of buttock claudication we advise against both bilateral IIA embolisation and short time intervals between embolisation and subsequent EVAR.
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None of the authors (Dr J. McGarry, Mr A. Alenezi, Dr F. McGrath, Dr M. Given, Dr A. Keeling, D. Moneley, A. Leahy, or Prof M Lee) has a conflict of interest or source of funding to declare.
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This retrospective study is entirely in accordance with the ethical standards of Beaumont Hospital Dublin Ethics Committee.
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McGarry, J.G., Alenezi, A.O., McGrath, F.P. et al. How safe is internal iliac artery embolisation prior to EVAR? A 10-year retrospective review. Ir J Med Sci 185, 865–869 (2016). https://doi.org/10.1007/s11845-015-1384-4
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DOI: https://doi.org/10.1007/s11845-015-1384-4