scholarly journals Successful Surgical Treatment for Rupture of an Iliac Artery Aneurysm into a Ureter

2009 ◽  
Vol 2 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Yosuke Takahashi ◽  
Hidekazu Hirai ◽  
Yasuyuki Sasaki ◽  
Toshihiko Shibata ◽  
Yasuyuki Bito ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

scholarly journals Arteria iliaca aneurysma nyitott és endovascularis kezelése

2018 ◽  
Vol 159 (13) ◽  
pp. 520-525
Author(s):  
Dávid Garbaisz ◽  
András Boros ◽  
Péter Legeza ◽  
Zoltán Szeberin
Keyword(s):  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Iliac Artery ◽  
Open Surgery ◽  
Elective Surgery ◽  
Artery Aneurysm ◽  
Complication Rates ◽  
Iliac Artery Aneurysm ◽  
Term Survival ◽  
Acute Surgery

Abstract: Introduction and aim: Iliac artery aneurysms make up 2% of all aneurysms. There are only a few data available on the results of surgical treatment, therefore the optimal treatment is unclear. Our objective was the retrospective analysis of the perioperative morbidity and mortality of patients who underwent iliac artery surgery as well as the comparison of elective open surgery and endovascular iliac aneurysm repair (EVIAR). Method: Retrospective analysis of patients who underwent surgery for iliac artery aneurysm between 1 January 2005 and 31 December 2014. Results: During the 10-year period, 62 patients with a mean age of 68.9 years underwent elective surgery for iliac artery aneurysm (54 males, 87.1%). In 10 cases acute surgery was performed due to aneurysm ruptures (13.9%), 3 patients died within the perioperative period (30%). Regarding anatomical localisation, aneurysm developed mostly on the common iliac artery (80.6%). As an elective surgery, 35 patients (56.5%) underwent open surgery, 25 (40.3%) underwent EVIAR and other endovascular interventions were performed in 2 cases (3.2%). Postoperative complications (1 patient [4.0%] vs. 17 patients [48.5%]; p<0.001) and intensive care treatment (29 patients [82.8%] vs. 2 patients [8.0%]; p<0.001) were significantly rarer after EVIAR than after open surgery. Furthermore, EVIAR resulted in considerably shorter postoperative hospital stays (4.7 ± 2.3 days vs. 11.8 ± 12.2 days; p = 0.006) and significantly less blood transfusion demand (1 patient [4.0%] vs. 26 patients [74.2%]; p<0.001). There were no significant differences regarding long-term survival rates between EVIAR and open surgery (81.4% vs. 71.4%; p = 0.95). Conclusion: In case of the surgical treatment of iliac artery aneurysms, owing to the lower complication rates and shorter postoperative length of stay, EVIAR is primarily recommended. Orv Hetil. 2018; 159(13): 520–525.

scholarly journals Surgical Treatment of Isolated Iliac Artery Aneurysm in Eight Cases.

1999 ◽  
Vol 28 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Toshiyuki Yuda ◽  
Hitoshi Matsumoto ◽  
Takayuki Ueno ◽  
Yosuke Hisashi ◽  
Riichiro Toda
Keyword(s):  
Surgical Treatment ◽  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

scholarly journals Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Guilherme Centofanti ◽  
Kenji Nishinari ◽  
Bruna De Fina ◽  
Rafael Noronha Cavalcante ◽  
Mariana Krutman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Iliac Artery ◽  
Computed Tomography Angiography ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Maximum Diameter ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Common Iliac Artery Aneurysm

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

Secondary Rupture of an Iliac Artery Aneurysm After Exclusion-Bypass

1996 ◽  
Vol 10 (3) ◽  
pp. 296-299 ◽  
Author(s):  
Michel Batt ◽  
André Rogopoulos ◽  
Hervé Bariseel ◽  
Georges Avril ◽  
Reda Hassen-Khodja ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

A rare cause of massive haematuria: Internal iliac artery-ureteric fistula

Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 193-196 ◽  
Author(s):  
Ahsan M Rao ◽  
Ahmed Khalil ◽  
Stuart Suttie
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Computerised Tomography ◽  
Subsequent Infection ◽  
Arterial Tree ◽  
Iliac Artery Aneurysm ◽  
Internal Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Uncommon Condition

Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascular exclusion of the aneurysm and its management. Nephrostogram identified the fistula not seen on computerised tomography. This case highlights the awareness of such pathology allowing for prompt recognition of the condition and importance of appropriate imaging.

scholarly journals Iliac Artery Aneurysm Repair with Preservation of a Single Ectopic Pelvic Kidney

2015 ◽  
Vol 42 (1) ◽  
pp. 61-62
Author(s):  
Aurelio Sarralde ◽  
Carolina Perez-Negueruela ◽  
José M. Bernal
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Saline Solution ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Systemic Circulation ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Cold Saline ◽  
One Year

An ultrasonographic study in a 60-year-old man incidentally detected an iliac artery aneurysm that gave rise to the renal artery of a single ectopic pelvic kidney. Renal-preservation solution could not be used during surgery, because the unclamped renal vein would have enabled the solution to enter the systemic circulation. Therefore, cold saline solution was infused through the renal ostium, and the kidney was maintained under cold saline immersion. We performed aortoiliac bypass and then implanted the renal artery into the bypass graft. Postoperatively, the patient's serum creatinine level increased; after one year, his renal function was normal. We discuss our use of cold saline solution for renal preservation.

Coil embolisation of an internal iliac artery aneurysm after surgical repair of an infrarenal aortic aneurysm

VASA ◽  
2007 ◽  
Vol 36 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Sixt ◽  
Rastan ◽  
Schwarzwälder ◽  
Schwarz ◽  
Frank ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
High Morbidity ◽  
Coil Embolisation ◽  
Iliac Artery Aneurysm ◽  
Cross Sectional ◽  
Infrarenal Aortic Aneurysm ◽  
Internal Iliac

We report a case of an 86-year-old asymptomatic patient, who underwent a repair of the infrarenal abdominal aortic aneurysm 13 years ago. He presented with a left internal iliac artery (IIA) aneurysm with a short neck of 3 mm, and a partially thrombosed lumen with a cross sectional diameter of 5.6 cm and a length of 8.9 cm. With respect to the high morbidity and mortality and awareness of the recommendation to treat aneurysms larger than 3 cm in diameter, we discussed the optimal treatment options. As endoprosthesis implantation was not feasible we performed a selective coil embolisation of the distal branches of the left internal artery, which successively lead to a complete thrombosis of the aneurysm. Although coiling additive to other procedures is applied frequently, only few cases of internal iliac aneurysm were treated with coil embolisation alone. During a first outpatient visit 2 months following the procedure the aneurysm was still completely thrombosed.

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