Isolated common iliac artery aneurysms: a revised classification to assist endovascular repair.
Title | Isolated common iliac artery aneurysms: a revised classification to assist endovascular repair. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Melas, N., Saratzis A., Dixon H., Saratzis N., Lazaridis J., Perdikides T., & Kiskinis D. |
Journal | J Endovasc Ther |
Volume | 18 |
Issue | 5 |
Pagination | 697-715 |
Date Published | 2011 Oct |
ISSN | 1545-1550 |
Keywords | Blood Vessel Prosthesis Implantation, Decision Support Techniques, Endovascular Procedures, Humans, Iliac Aneurysm, Patient Selection, Risk Assessment, Risk Factors, Terminology as Topic |
Abstract | Isolated common iliac artery aneurysms (CIAAs) are relatively rare; they typically progress asymptomatically and are revealed incidentally, usually after they have acquired significant dimensions. Traditional open reconstruction is associated with high morbidity and mortality rates. Rupture is a common initial manifestation. Endovascular repair has been proposed as a minimally invasive alternative, associated with lower morbidity and mortality rates, even in patients at high surgical risk; some specialists have recently proposed endoluminal repair as the first-choice procedure in suitable anatomies. However, only a few sporadic attempts have been made to define the "suitable" anatomy for endovascular repair. This article proposes a classification of isolated CIAAs and provides endovascular specialists with a guide to deciding which type of repair is feasible and efficacious according to the anatomical configuration of the aneurysm. |
DOI | 10.1583/11-3519.1 |
Alternate Journal | J. Endovasc. Ther. |
PubMed ID | 21992642 |