Endovascular aortic aneurysm repair with iliac branched device for treatment of aortoiliac aneurysms: short-term results

Abstract

Background Abdominal aortic aneurysm (AAA) is a life-threatening disease, which may be discovered incidentally or upon its rupture. The endovascular AAA repair ‎(EVAR) has become the treatment of choice owing ‎to its minimal invasiveness. It is challenged by the presence of concomitant common iliac artery aneurysms as there is no proper sealing zone distal to the aneurysm. ‎Currently, advances in ‎graft technology yielded the iliac branch devices (IBDs) to be the solution to keep the internal iliac artery blood flow and preclude pelvic ischemic complications.‎ Aim This study aimed to present our experience and the short-term outcome of using IBD during AAA repair. Patients and methods This is a retrospective study that included 20 patients with aortoiliac aneurysms indicating interventions. After proper selection, patients were treated with EVAR with Cook Zenith IBD implantation. Results Technical and clinical success was achieved in all ‎cases. Primary patency was 100% at 1 year. No IBD-related complications were encountered. Type II endoleak ‎was present in two cases with stable course and stationary sac size ‎not requiring intervention. Conclusion The short-term patient follow-up in this study highlighted that when patients are ‎properly selected and precise technical manipulation is secured, EVAR-IBD is a ‎feasible, effective, and safe treatment ‎of choice for patients with AAA and common iliac artery ‎aneurysms. It offered substantial clinical and ‎technical success, and iliac patency, with ‎no procedure-related significant morbidity or ‎mortality.