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Surgery Today

, Volume 38, Issue 3, pp 232–236 | Cite as

Treatment of solitary iliac aneurysms: Clinical review of 28 cases

  • Haidi Hu
  • Takeshi Takano
  • Atsushi Guntani
  • Toshihiro Onohara
  • Tadashi Furuyama
  • Hiroyuki Inoguchi
  • Maki Takai
  • Yoshihiko Maehara
Original Articles

Abstract

Purpose

The clinical characteristics and long-term results of patients with solitary iliac aneurysms (SIAs) were investigated.

Methods

28 consecutive patients who underwent repair of SIAs between 1985 and 2004 were reviewed retrospectively, and compared with those of 536 patients who underwent elective repair of an abdominal aortic aneurysm (AAA) during the same period.

Results

The incidence of SIAs among all aorto-iliac aneurysms was 5.0%. The 28 patients with SIAs were men with a mean age of 69.1 years. There were a collective total of 42 iliac aneurysms in the 28 patients, with 12 patients having multiple aneurysms. Thirty aneurysms involved the common iliac artery, and 12 involved the internal iliac artery. Twenty-two patients had symptoms, although none of the SIAs ruptured. Four patients had coexistent iliac occlusive disease and two patients had femoral occlusive disease. The 5-and 10-year survival rates of the patients with SIAs were 90.5% and 75.4%, whereas those of the patients with AAAs were 76.3% and 54%, respectively (P = 0.089).

Conclusion

Routine imaging is necessary not only to evaluate the SIAs, but also to detect multiple aneurysms or arterial occlusive disease. Close and long-term followup is mandatory for the early detection of the formation of new aneurysms.

Key words

Solitary iliac aneurysm Abdominal aortic aneurysm 

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Copyright information

© Springer 2008

Authors and Affiliations

  • Haidi Hu
    • 1
    • 2
  • Takeshi Takano
    • 1
  • Atsushi Guntani
    • 1
  • Toshihiro Onohara
    • 1
  • Tadashi Furuyama
    • 1
  • Hiroyuki Inoguchi
    • 1
  • Maki Takai
    • 1
  • Yoshihiko Maehara
    • 1
  1. 1.Department of Surgery and Science, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  2. 2.Department of Surgery, The First Affiliated HospitalChina Medical UniversityShenyangChina

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