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General Thoracic and Cardiovascular Surgery

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01-10-2019 | Computed Tomography | Original Article

Minimally invasive treatment for isolated internal iliac artery aneurysms preserving superior gluteal artery flow

Authors: Satoru Domoto, Takashi Azuma, Yoshihiko Yokoi, Syogo Isomura, Ken Takahashi, Hiroshi Niinami

Published in: General Thoracic and Cardiovascular Surgery | Issue 10/2019

Abstract

Objectives

To prevent buttock claudication, we performed endovascular aortic aneurysm repair (EVAR) for isolated internal iliac aneurysms (IIAAs) with selective preservation of the superior gluteal artery (SGA) flow. This study evaluates early clinical outcomes of this treatment.

Methods and results

We retrospectively evaluated 6 patients with isolated IIAA who underwent EVAR under local anesthesia between October 2017 and July 2018 at Tokyo Women’s Medical University Hospital. We used self-expanding stent grafts to exclude the IIAA while preserving SGA flow. If necessary, we occluded the inferior gluteal artery and other branches with vascular plugs to prevent type II endoleak. The mean proximal neck diameter and length of the IIAAs to be 9.4 ± 2.4 mm and 17.7 ± 11.3 mm. The mean diameter of the SGA was 6.5 ± 0.9 mm. There were no procedural complications, and the mean procedure time was 84 ± 24 min. All patients were free from buttock claudication at follow-up. Postoperative computed tomography demonstrated a 100% primary patency rate of the SGA stent graft: there was no case of migration or endoleak.

Conclusion

EVAR for IIAAs with SGA flow preservation shows favorable early clinical outcomes. To prevent buttock claudication, SGA flow is necessary and sufficient. This novel approach is less invasive compared to conventional IIAA repair.

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Title: Minimally invasive treatment for isolated internal iliac artery aneurysms preserving superior gluteal artery flow
Authors: Satoru Domoto
Takashi Azuma
Yoshihiko Yokoi
Syogo Isomura
Ken Takahashi
Hiroshi Niinami
Publication date: 01-10-2019
Publisher: Springer Singapore
Keywords: Computed Tomography
Computed Tomography
Aneurysm
Aneurysm
Local Anesthesia in Dentistry
Published in: General Thoracic and Cardiovascular Surgery / Issue 10/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-019-01096-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Minimally invasive treatment for isolated internal iliac artery aneurysms preserving superior gluteal artery flow

Abstract

Objectives

Methods and results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods and results

Conclusion

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