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The Journal of Cardiovascular Surgery 2016 October;57(5):712-5

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Therapeutic algorithm to treat common iliac artery aneurysms by endovascular means

Giuseppe PANUCCIO 1, Giovanni F. TORSELLO 1, 2, Giovanni B. TORSELLO 1, Konstantinos P. DONAS 1

1 Department of Vascular Surgery, St. Franziskus Hospital and Clinic of Vascular and Endovascular Surgery, University of Münster, Münster, Germany; 2 Westphalian Center for Radiology, Münster, Germany


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Use of endovascular means is gaining ever greater acceptance in the treatment of aorto-iliac aneurysms. Especially, the treatment of patients with common iliac aneurysms (CIAs) may be very challenging due to the complexity of the underlying disease with often involvement of the hypogastric artery. Additionally, the variety of endovascular therapeutic options such as the use of iliac branch devices, parallel grafts, the bell-bottom technique or coil embolization of the hypogastric artery and overstenting of the origin represents significant limitation regarding the presentation of a clear and robust endovascular therapeutic algorithm. Aim of the present article was the demonstration of the institutional experience with the endovascular management of CIAs in order to provide a clinical recommendation and algorithm.

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