Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Obstetrics Surgery
- General Surgery
- Robotic Surgery
- Gastroenterological Surgery
- Otolaryngology - Head and Neck Surgery
- Neurological Surgery
- Orthopaedic Surgery
- Emergency Surgery
Abstract
Citation: Clin Surg. 2016;1(1):1179.Case Report | Open Access
Treatment of Bilateral Iliac Aneurysms with Gore Iliac Branch Endoprostheses: Case Report and Review of the Literature
Sruthi Muluk and Naval Udgiri
Harvard College, USA
Department of Vascular Surgery, St. Vincent Regional Health System, USA
*Correspondance to: Sruthi Muluk
PDF Full Text DOI: 10.25107/2474-1647.1179
Abstract
Introduction: Bilateral common iliac aneurysms that extend to the distal portion cannot be readily treated with standard endografts. A common strategy for unilateral iliac aneurysms is to embolize and cover the internal iliac on the side of the aneurysm, but this strategy is associated with significant side effects. The coil/cover approach is particularly undesirable for bilateral iliac aneurysms. The recent introduction of the Gore Iliac Branch Endoprosthesis (IBE) facilitates preservation of flow to the internal iliac. In this paper, we describe the first reported case of using two IBE devices to treat a patient with bilateral iliac aneurysms.Case
Presentation: A 75-year old male presented with asymptomatic bilateral common iliac aneurysms. He was treated with bilateral Gore Excluder® Iliac Branch Endoprostheses. The patient tolerated the procedure well and follow-up imaging showed no endoleak and patency of all relevant arteries.Discussion: Bilateral common iliac aneurysms which extend to the distal iliac pose a problem because the traditional coil/cover strategy can lead to symptoms such as sexual dysfunction and buttock claudication. There are several other methods of treating this subset of aneurysms, including iliac branch devices (IBDs). The early literature on the use of IBDs is promising. This case presentation demonstrates that bilateral IBDs can be successfully used in patients with suitable anatomy.
Keywords
Bilateral iliac aneurysms; Endoprostheses; Chronic warfarin therapy; Iliac aneurysms (IA)
Cite the article
Muluk S, Udgiri N. Treatment of Bilateral Iliac Aneurysms with Gore Iliac Branch Endoprostheses: Case Report and Review of the Literature. Clin Surg. 2016; 1: 1179.
