Skip to main content

Techniques of Endovascular Repair of Aorto-Iliac Aneurysms Using Iliac Branch Devices

  • Chapter
  • First Online:
Endovascular Aortic Repair

Abstract

The evolution of endovascular techniques has increased the proportion of patients who are suitable for treatment with endovascular aneurysm repair (EVAR). Developments in fenestrated and branched technology provide an endovascular solution to incorporate the visceral branches and iliac arteries. Iliac branch devices (IBDs) allow preservation of flow into one or both internal iliac arteries in patients with ectatic or aneurysmal iliac arteries. The technique has been performed with high technical success and no added morbidity and mortality compared to standard EVAR, potentially decreasing the risk of pelvic ischemic complications associated with hypogastric exclusion. This article summarizes the technical aspects of EVAR using IBDs with four different designs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Schanzer A, Greenberg RK, Hevelone N, Robinson WP, Eslami MH, Goldberg RJ, Messina L. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123:2848–55.

    Article  PubMed  Google Scholar 

  2. Oderich GS, Greenberg RK. Endovascular iliac branch devices for iliac aneurysms. Perspect Vasc Surg Endovasc Ther. 2011;23:166–72.

    Article  PubMed  Google Scholar 

  3. Greenberg RK, Lu Q, Roselli EE, Svensson LG, Moon MC, Hernandez AV, Dowdall J, et al. Contemporary analysis of descending thoracic and thoracoabdominal aneurysm repair: a comparison of endovascular and open techniques. Circulation. 2008;118:808–17.

    Article  PubMed  Google Scholar 

  4. Greenberg RK, West K, Pfaff K, Foster J, Skender D, Haulon S, Sereika J, et al. Beyond the aortic bifurcation: branched endovascular grafts for thoracoabdominal and aortoiliac aneurysms. J Vasc Surg. 2006;43:879–86. discussion 886–7.

    Article  PubMed  Google Scholar 

  5. Ziegler P, Avgerinos ED, Umscheid T, Perdikides T, Erz K, Stelter WJ. Branched iliac bifurcation: 6 years experience with endovascular preservation of internal iliac artery flow. J Vasc Surg. 2007;46:204–10.

    Article  PubMed  Google Scholar 

  6. Haulon S, Greenberg RK, Pfaff K, Francis C, Koussa M, West K. Branched grafting for aortoiliac aneurysms. Eur J Vasc Endovasc Surg. 2007;33:567–74.

    Article  CAS  PubMed  Google Scholar 

  7. Verzini F, Parlani G, Romano L, De Rango P, Panuccio G, Cao P. Endovascular treatment of iliac aneurysm: concurrent comparison of side branch endograft versus hypogastric exclusion. J Vasc Surg. 2009;49:1154–61.

    Article  PubMed  Google Scholar 

  8. Karthikesalingam A, Hinchliffe RJ, Holt PJ, Boyle JR, Loftus IM, Thompson MM. Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg. 2010;39:285–94.

    Article  CAS  PubMed  Google Scholar 

  9. Tielliu IF, Bos WT, Zeebregts CJ, Prins TR, Van Den Dungen JJ, Verhoeven EL. The role of branched endografts in preserving internal iliac arteries. J Cardiovasc Surg. 2009;50:213–8.

    CAS  Google Scholar 

  10. Parlani G, Verzini F, De Rango P, Brambilla D, Coscarella C, Ferrer C, Cao P. Long-term results of iliac aneurysm repair with iliac branched endograft: a 5-year experience on 100 consecutive cases. Eur J Vasc Endovasc Surg. 2012;43:287–92.

    Article  CAS  PubMed  Google Scholar 

  11. Wong S, Greenberg R, Eagleton M, Mastracci T, Melgard C, Sylver Y. Endovascular repair of aortoiliac aneurymal disease with the helical iliac branch device and the bifurcated-bifurcated branch device. J Vasc Surg. 2013;58(4):861–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gustavo S. Oderich .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Mayo Foundation for Medical Education and Research

About this chapter

Cite this chapter

Oderich, G.S., Fatima, J. (2017). Techniques of Endovascular Repair of Aorto-Iliac Aneurysms Using Iliac Branch Devices. In: Oderich, G. (eds) Endovascular Aortic Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-15192-2_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15192-2_40

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15191-5

  • Online ISBN: 978-3-319-15192-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics