The American Journal of Surgery
Volume 170, Issue 2 , Pages 179-182, August 1995

Transfemoral endovascular repair of iliac artery aneurysms☆☆☆

  • Michael L. Marin, MD

      Affiliations

    • Corresponding Author InformationRequests for reprints should be addressed to Michael L. Marin, MD, Division of Vascular Surgery, Montefiore Medical Center, 111 East 210th Street, New York, New York 10467.
    • Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, New York, New York, USA
    • ,
  • Frank J. Veith, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, New York, New York, USA
    • ,
  • Ross T. Lyon, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, New York, New York, USA
    • ,
  • Jacob Cynamon, MD

      Affiliations

    • Division of Interventional Radiology, Department of Radiology, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, New York, New York, USA
    • ,
  • Luis A. Sanchez, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center, The University Hospital for the Albert Einstein College of Medicine, New York, New York, USA

Abstract 

Purpose: This report evaluates the application of transfemoral endovascular repair of iliac artery aneurysms.

Patients and methods: Over a 20-month period, 11 patients with serious comorbid illnesses and a total of 14 iliac artery aneurysms were treated with endovascular grafts composed of polytetra-fluoroethylene conduits combined with balloon expandable iliac artery stents (Palmaz). Nine right common, 3 left common, and 2 right internal iliac artery aneurysms were treated. The patients were men between 58 and 89 years of age (mean 72). Eight patients had isolated aneurysms and 3 had multiple iliac artery aneurysms.

Results: Endovascular iliac grafts were successfully placed in all 11 patients. No procedural deaths occurred. Follow-up ranged from 3 to 21 months (mean 11). No acute or late graft thromboses occurred.

Conclusions: Transluminally placed endovascular stented grafts can be used to successfully exclude iliac artery aneurysms from the circulation while maintaining lower-extremity arterial perfusion. However, longer follow-up in more patients is necessary to confirm the durability of this technique.

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☆ Supported by grants from the US Public Health Service (HL 02990-02), the James Hilton Manning and Emma Austin Manning Foundation, The Anna S. Brown Trust, and The New York Institute for Vascular Studies.

☆☆ Presented at the 23rd Annual Meeting of The Society for Clinical Vascular Surgery, Fort Lauderdale, Florida, March 22–26, 1995.

PII: S0002-9610(99)80281-5

The American Journal of Surgery
Volume 170, Issue 2 , Pages 179-182, August 1995

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