Common iliac and hypogastric aneurysms: open and endovascular repair

• Published in: Journal of cardiovascular surgery Vol. 56; no. 2; p. 249
• Main Authors: Katsargyris, A, Oikonomou, K, Klonaris, C, Bal, A, Yanar, F, Verhoeven, E L
• Format: Journal Article
• Language: English
• Published: Italy 01.04.2015
• Subjects: Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Endovascular Procedures - adverse effects; Endovascular Procedures - instrumentation; Humans; Iliac Aneurysm - diagnosis; Iliac Aneurysm - physiopathology; Iliac Aneurysm - surgery; Iliac Artery - diagnostic imaging; Iliac Artery - physiopathology; Iliac Artery - surgery; Prosthesis Design; Radiography; Regional Blood Flow; Stents; Treatment Outcome

Currently, there are a variety of open surgical, endovascular, and hybrid options to treat iliac artery aneurysms (IAA). Anatomy of the common iliac artery (CIA) with regard to proximal and distal neck, involvement of the iliac bifurcation, and choice to preserve the ipsilateral internal iliac artery (IIA) all play a role in the decision process towards the preferred treatment method. This manuscript describes the available open surgical and endovascular techniques for the treatment of IAA. Indications, advantages and limitations, and outcomes of each technique are discussed.