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[Prognosis of embolization of internal iliac artery during the endovascular repair for abdominal aortic aneurysm].
Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Dec 18; 46(6):917-9.BD

Abstract

OBJECTIVE

To study the importance of the internal iliac artery (IIA) during the endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA).

METHODS

Forty-six consecutive cases of AAA treated by EVAR were retrospectively analyzed. The complications after exclusion of the IIA were analyzed.

RESULTS

The bilateral IIAs were reserved in 18 cases, in which the follow-up was achieved in 16 cases and no complication was observed. The IIAs were excluded in 28 (60.9%) cases, in which the bilateral, right and left IIAs were excluded in 7 (15.2%), 14 (30.4%) and 7 (15.2%) cases respectively. The follow-up was achieved in 26 cases. Buttock claudication was observed in 12 (46.2%) cases, altered bowel habit was observed in 8 (32.0%) cases, erectile dysfunction was observed in 3 (12.0%) cases, and bloody stool was observed in 2 (8.0%) cases. Comparing the bilateral and unilateral IIA exclusions, the rates of buttock claudication were 50.0% vs. 45.0%, altered bowel habit 33.3% vs. 31.6%, and erectile dysfunction 33.3% vs. 5.3% respectively. And the average duration of buttock claudication of bilateral IIAs exclusion (8.3 months) was longer than that of unilateral exclusion (4.7 months). Moreover, comparing the left and right IIA exclusions, the rates of buttock claudication were 57.1% vs. 38.5%, altered bowel habit 57.1% vs. 16.7%, and bloody stool 28.6% vs. 0 respectively. And the average duration of buttock claudication of left IIA exclusion (6.0 months) was longer than that of right exclusion (3.7 months).

CONCLUSION

The IIAs, especially the left IIA, should be reserved during the EVAR for AAA.

Authors+Show Affiliations

Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.Department of Interventional Radiology, Anshun People's Hospital, Guizhou Anshun 561000, China.Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

25512283

Citation

Luan, J Y., et al. "[Prognosis of Embolization of Internal Iliac Artery During the Endovascular Repair for Abdominal Aortic Aneurysm]." Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, vol. 46, no. 6, 2014, pp. 917-9.
Luan JY, Li X, Xiang Y, et al. [Prognosis of embolization of internal iliac artery during the endovascular repair for abdominal aortic aneurysm]. Beijing Da Xue Xue Bao. 2014;46(6):917-9.
Luan, J. Y., Li, X., Xiang, Y., Fu, J., Wang, C. M., Li, T. R., & Han, J. T. (2014). [Prognosis of embolization of internal iliac artery during the endovascular repair for abdominal aortic aneurysm]. Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, 46(6), 917-9.
Luan JY, et al. [Prognosis of Embolization of Internal Iliac Artery During the Endovascular Repair for Abdominal Aortic Aneurysm]. Beijing Da Xue Xue Bao. 2014 Dec 18;46(6):917-9. PubMed PMID: 25512283.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prognosis of embolization of internal iliac artery during the endovascular repair for abdominal aortic aneurysm]. AU - Luan,J Y, AU - Li,X, AU - Xiang,Y, AU - Fu,J, AU - Wang,C M, AU - Li,T R, AU - Han,J T, PY - 2014/12/17/entrez PY - 2014/12/17/pubmed PY - 2015/9/9/medline SP - 917 EP - 9 JF - Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences JO - Beijing Da Xue Xue Bao VL - 46 IS - 6 N2 - OBJECTIVE: To study the importance of the internal iliac artery (IIA) during the endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA). METHODS: Forty-six consecutive cases of AAA treated by EVAR were retrospectively analyzed. The complications after exclusion of the IIA were analyzed. RESULTS: The bilateral IIAs were reserved in 18 cases, in which the follow-up was achieved in 16 cases and no complication was observed. The IIAs were excluded in 28 (60.9%) cases, in which the bilateral, right and left IIAs were excluded in 7 (15.2%), 14 (30.4%) and 7 (15.2%) cases respectively. The follow-up was achieved in 26 cases. Buttock claudication was observed in 12 (46.2%) cases, altered bowel habit was observed in 8 (32.0%) cases, erectile dysfunction was observed in 3 (12.0%) cases, and bloody stool was observed in 2 (8.0%) cases. Comparing the bilateral and unilateral IIA exclusions, the rates of buttock claudication were 50.0% vs. 45.0%, altered bowel habit 33.3% vs. 31.6%, and erectile dysfunction 33.3% vs. 5.3% respectively. And the average duration of buttock claudication of bilateral IIAs exclusion (8.3 months) was longer than that of unilateral exclusion (4.7 months). Moreover, comparing the left and right IIA exclusions, the rates of buttock claudication were 57.1% vs. 38.5%, altered bowel habit 57.1% vs. 16.7%, and bloody stool 28.6% vs. 0 respectively. And the average duration of buttock claudication of left IIA exclusion (6.0 months) was longer than that of right exclusion (3.7 months). CONCLUSION: The IIAs, especially the left IIA, should be reserved during the EVAR for AAA. SN - 1671-167X UR - https://www.unboundmedicine.com/medline/citation/25512283/[Prognosis_of_embolization_of_internal_iliac_artery_during_the_endovascular_repair_for_abdominal_aortic_aneurysm]_ L2 - http://xuebao.bjmu.edu.cn/EN/Y2014/V46/I6/917 DB - PRIME DP - Unbound Medicine ER -