Aortoiliac aneurysms: Endoluminal repair - Clinical evidence for a fully supported stent-graft

James E. Silberzweig, Michael L. Marin, Larry H. Hollier, Harold A. Mitty, Richard E. Parsons, James M. Cooper, Jiyong Ahn

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

PURPOSE: To evaluate aortoiliac aneurysms repaired with endovascular stent-grafts complicated by hemodynamically significant graft stenosis. MATERIALS AND METHODS: Fifty-four patients (52 men, two women; age range, 41- 90 years; mean age, 75 years) with aneurysms of the infrarenal aorta (n = 36) or iliac artery (n = 18) underwent repair by means of placement of an endovascular stent-graft. Technical success was evaluated angiographically during and after placement. At follow-up (range, 12-44 months), all patients underwent sequential duplex ultrasonography, helical computed tomography, and physical examination. RESULTS: Stent-grafts were placed successfully in all cases. Stenosis at the internal iliac arterial origin was identified at angiography in 17 patients (31%). Supplemental intragraft stents were placed in 11 patients, and stent-graft angioplasty alone was performed in one patient. Intragraft stents were placed percutaneously in five patients when stenosis was discovered during follow-up. CONCLUSION: Supplemental intragraft stents were required in 31% of aortoiliac endovascular stent-grafts to correct stent-graft stenosis and preserve long-term function. Placement of a fully supported stent-graft is necessary to repair an aortoiliac aneurysm.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalRadiology
Volume209
Issue number1
DOIs
StatePublished - Oct 1998
Externally publishedYes

Keywords

  • Aneurysms, aortic
  • Aneurysms, iliac
  • Arteries, grafts and prostheses
  • Interventional procedures
  • Stents and prostheses

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