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Treatment options for isolated iliac artery aneurysms and their impact on aortic diameter after treatment -
분야 의약학 > 호르몬
저자 Jang Yong Kim Dae Hwan Kim Cheng Quan Young Ju Suh Hyun Young Ann Ji Il Kim In Sung Moon Taeseung Lee
발행기관 대한외과학회
간행물정보 Annals of Surgical Treatment and Research 2019년, Annals of Surgical Treatment and Research Vol.96 No.3, 146page~151page(총6page)
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연관 논문
S-212 : Single Center Experience of Endovascular Aneurysm Repair for Abdominal or Iliac Artery Aneurysm
Case Report : Successful treatment of type I endoleak of common iliac artery with balloon expandable stent (Palmaz XL stent) during endovascular aneurysm repair
Poster Session:PS 1216 ; Cardiology : Pseudoaneurysm Formation with Bursting Stent Fracture at Common Iliac Artery: Endovascular Aneurysm Repair
Short-term Outcomes of Aortic Wrapping for Mild to Moderate Ascending Aorta Dilatation in Patients Undergoing Cardiac Surgery -
S-358 : Successfully treated isolated renal artery pseudoaneurysm in a patient with Behiet disease
 
 
목차
부제 :
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
 
영문초록
Purpose: Isolated iliac artery aneurysm (IIAA) is uncommon. It is frequently treated by endovascular aneurysm repair (EVAR). This study was to evaluate treatment results of IIAA and survey aortic diameter after EVAR.
Methods: Patients treated for IIAA in Seoul St. Mary"s Hospital and Bundang Seoul National University from 2005 to April 2016 were retrospectively enrolled. The inclusion criteria of IIAA was >30 mm of iliac artery aneurysm without abdominal aortic aneurysm, which was treated by open surgical repair (OSR) or EVAR. Patients’ clinical characteristics, treatment results, and mortality were obtained from electronic medical records. Diameters of aorta and iliac arteries were measured periodically with scheduled interval based on CT scans.
Results: Forty-nine patients (40 males; mean age, 71.9 ± 11.1 years) were enrolled. Five ruptured IIAAs were treated with EVAR (n = 1) or hybrid methods (n = 4). The diameter of ruptured IIAAs was 65 ± 31.4 mm, which was not significantly different from that of elective (44.3 ± 17.0 mm). Forty-four elective IIAA underwent 9 OSR, 31 EVARs, and 3 hybrid treatments (15 bifurcated and 12 straight stent-grafts). Treatment success rate was 93.8% without hospital mortality. There were 4 type I endoleak, 1 type II endoleak, and 1 type III endoleak without aneurysm-related mortality during followup. However, the aortic diameter was increased over time though there was no change or decrease in common iliac artery’s diameter.
Conclusion: Treatment of IIAA included various endovascular modalities as well as open surgery. Regular surveillance is still needed due to aortic dilatation after its treatment.
 
 
Aneurysm, Iliac artery, Iliac aneurysm, Endovascular procedure
 
 
도움말
본 논문은 참고용 논문으로 수정 및 텍스트 복사가 되지 않습니다.
 
 
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