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Current Status of Endovascular Preservation of the Internal Iliac Artery with Iliac Branch Devices (IBD)

Authors
  • D’Oria, Mario1, 2
  • Mastrorilli, Davide2
  • DeMartino, Randall1
  • Lepidi, Sandro3
  • 1 Mayo Clinic Gonda Vascular Center, Division of Vascular and Endovascular Surgery, 200 1st Street SW, Rochester, MN, 55901, USA , Rochester (United States)
  • 2 University Hospital of Cattinara ASUITs, Division of Vascular and Endovascular Surgery, Cardiovascular Department, Trieste, Italy , Trieste (Italy)
  • 3 University of Padova, Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy , Padova (Italy)
Type
Published Article
Journal
CardioVascular and Interventional Radiology
Publisher
Springer-Verlag
Publication Date
Mar 11, 2019
Volume
42
Issue
7
Pages
935–948
Identifiers
DOI: 10.1007/s00270-019-02199-5
Source
Springer Nature
Keywords
License
Yellow

Abstract

Endovascular aneurysm repair (EVAR) has become the most utilized treatment for abdominal aortic aneurysms (AAA), but the presence of common iliac dilatation or aneurysm may prevent the achievement of effective distal seal and fixation. Ideal repair in these cases should involve both effective preservation of the pelvic circulation and durable exclusion of the AAA. Unilateral or bilateral internal iliac artery (IIA) preservation with iliac branch devices (IBD) is safe, feasible and effective with technical and clinical outcomes comparable to standard EVAR. The versatility of current devices has allowed extended application to complex cases, but must be considered carefully in difficult anatomies. Pending long-term durability results and formal cost-effectiveness appraisals, IBD implantation has several advantages to anatomically eligible patients as compared with other available open or endovascular/hybrid solutions for IIA preservation during EVAR for aortoiliac aneurysms.

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