İliyak Dallı Endogreft ileİzole Ana İliyak Arter Anevrizma Tedavisi

Herein, we present 52-year-old male case with isola—ted fusiform right common iliac artery aneurysm extending to the iliac bifurcation which wassuccessfully treated with iliac branched endograft for the first time in Turkey.

📌 3 Key Takeaways

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Objective & Hypothesis:Aneurysms of the iliac arteries are frequently associated with abdominal aortic ane—urysms and isolated common iliac artery aneurysms are very rare.

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Key Findings & Data:The risk of rupture and morta—lity in patients with untreated isolated iliac artery aneurysm is very high.

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Conclusion & Impact:Herein, we present 52-year-old male case with isola—ted fusiform right common iliac artery aneurysm extending to the iliac bifurcation which wassuccessfully treated with iliac branched endograft for the first time in Turkey.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Aneurysms of the iliac arteries are frequently associated with abdominal aortic ane—urysms and isolated common iliac artery aneurysms are very rare. The risk of rupture and morta—lity in patients with untreated isolated iliac artery aneurysm is very high. In recent years,endovascular treatment has become successful alternative to open surgery. One of the options forendovascular treatment consists of excluding the aneurysm from the vascular system via tubularstent—graft after occlusion of the internal iliac artery. Ischemic complications may be seen frequentlyafter this procedure. Iliac branched endograft, also called as iliac bifurcation device, has been in—troduced to eliminate these complications. Herein, we present 52-year-old male case with isola—ted fusiform right common iliac artery aneurysm extending to the iliac bifurcation which wassuccessfully treated with iliac branched endograft for the first time in Turkey.

Özet

İliyak arterlerin anevrizmalari sıklıkla abdominal aort anevrizmaları ile ilişkide olmalarına rağmen, izole ana iliyak arter anevrizmaları oldukça nadirdir. Tedavi edilmeyen izole iliyak arter anevrizmasının rüptür ve mortalite riski oldukça yüksektir. Son zamanlarda endovasküler tedavi, açik cerrahiye başarılı bir alternatif tedavi olmuştur. Endovasküler tedavi için seçeneklerden biri, internal iliyak arterin tıkanması sonrası tübüler stent--greft ile anevrizmanin vasküler sistemden uzaklaştırılmasıdir. Bu işlem sonrası iskemik komplikasyonlar yüksek oranda görülebilmektedir. İliyak bifurkasyon aleti olarak da adlandırılan iliyak dalli endogreft, bu komplikasyonları ortadan kaldirmak için üretilmiştir. Biz bu yazıda, 52 yaşındaki erkek olguda Türkiye'de ilk kez bir iliyak dallı endogreft ile iliyak bifurkasyona uzanan izole fuziform sağ ana iliyak arter anevrizmasının ba-- şarılı tedavisini sunduk.

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Cite This Article

SAĞLAM, F., TEBER, M. A., AKGÜNDÜZ, G., CANYİGİT, M., HIDIROĞLU, M., KÜÇÜKER, A. (2022). İliyak Dallı Endogreft ileİzole Ana İliyak Arter Anevrizma Tedavisi. Damar Cerrahi Dergisi, Cilt: 23 - Sayı: 2, 120–123. https://ajindex.com/articles/486749

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References (10)

Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE. Solitary aneurysm of the iliac artery system: an estimate of their frequency of occurrence. J Vasc Surg 1989;10(4):381-4
Dias NV, Resch TA, Sonesson B, Ivancev K, Malina M. EVAR of aortoiliac aneurysms with branched stent-grafts. Eur J Vasc Endovasc Surg 2008;35(6):677-84
Oztürk MH, Eyüboğlu I, Pulathan Z, Dinç H. Spontaneous thrombosis of a saccular iliac artery aneurysm induced by overlapping self-expandable bare metallic stents. Diagn Interv Radiol 2010;16(4):308-11
KarthikesalingamA, Hinchliffe RJ, Holt PJ, Boyle JR, Loftus IM, Thompson MM. Endovascular aneurysmrepair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg 2010;39(3):285-94
Kasirajan V, Hertzer NR, Beven EG, O'Hara PJ, Krajewski LP, Sullivan TM. Management of isolated common iliac artery aneurysms. Cardiovasc Surg 1998;6(2):171-7
Lee WA. Branched endograft for aortoiliac artery aneurysms. Vascular 2009;17 Suppl 3: S111-8
Brin B, Busuttil R. Isolated hypogastric artery aneurysms. Arch Surg 1982;117(10):1329-33
Hechelhammer L, Rancic Z, Pfiffner R, Mayer D, Meier T, Lachat M, et al. Midterm outcome of endovascular repair of ruptured isolated iliac artery aneurysms. J Vasc Surg 2010;52(5): 1159-63
Oderich GS, Greenberg RK. Endovascular iliac branch devices for iliac aneurysms. Perspect Vasc Surg Endovasc Ther 2011;23(3): 166-72
Rayt HS, Bown MJ, Lambert KV, Fishwick NG, McCarthy MJ, London NJ, et al. Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair. Cardiovasc Intervent Radiol 2008;31(4):728-34.