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Isolated iliac artery aneurysms: a single-centre experience

  • VASCULAR AND INTERVENTIONAL RADIOLOGY
  • Published:
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Abstract

Purpose

This paper reviews our experience in endovascular treatment of isolated iliac artery aneurysms (IIAAs) with a large number of patients.

Materials and methods

From May 2005 to September 2013, 45 patients (43 men and two women; mean age, 74 ± 10 years) with a total of 59 IIAAs underwent endovascular treatment at our institute. We evaluated technical success, long-term patency, early and late complications and overall mortality. Patients were divided into two groups: emergency-treatment group and elective-treatment group.

Results

At a median follow-up of 34.3 months, we achieved a technical success of 97.8 %, a primary patency of 95.5 % and a secondary patency of 100 %, with complete exclusion of the aneurysm in 84.5 % of cases. The incidence of endoleaks was of 15.5 %: eight were type II and one was type III; perioperative mortality was 4.7 %.

Conclusions

Our study documents the effectiveness, in both emergency and elective settings, of the endovascular treatment of iliac aneurysms (EVIAR), which has become the first-choice treatment at our institute. In particular cases, it is also possible to avoid embolisation of the internal iliac artery.

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Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, ‘‘Maggiore della Carita`’’Hospital, University of Eastern Piedmont ‘‘Amedeo Avogadro’’, C.so Mazzini 18, 28100, Novara, NO, Italy

    Rita Fossaceca, Giuseppe Guzzardi, Paolo Cerini, Ignazio Divenuto, Carmelo Stanca, Giuseppe Parziale & Alessandro Carriero

  2. Department of Vascular Surgery, ‘‘Maggiore della Carita`’’ Hospital, University of Eastern Piedmont ‘‘Amedeo Avogadro’’, C.so Mazzini 18, 28100, Novara, NO, Italy

    Piero Brustia

Authors
  1. Rita Fossaceca
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  2. Giuseppe Guzzardi
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  3. Paolo Cerini
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  4. Ignazio Divenuto
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  5. Carmelo Stanca
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  6. Giuseppe Parziale
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  7. Piero Brustia
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  8. Alessandro Carriero
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Corresponding author

Correspondence to Paolo Cerini.

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Fossaceca, R., Guzzardi, G., Cerini, P. et al. Isolated iliac artery aneurysms: a single-centre experience. Radiol med 120, 440–448 (2015). https://doi.org/10.1007/s11547-014-0468-y

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  • DOI: https://doi.org/10.1007/s11547-014-0468-y

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