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REVIEW  DIAGNOSTICS AND TREATMENT MODALITIES FOR OBSTRUCTIVE AND ANEURYSMATIC ILIAC ARTERY DISEASE 

The Journal of Cardiovascular Surgery 2018 February;59(1):4-13

DOI: 10.23736/S0021-9509.17.10234-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

How to overcome challenging iliac artery anatomy in endovascular repair for AAA

Markus WORTMANN, Moritz S. BISCHOFF, Maani HAKIMI, Dittmar BÖCKLER

Department of Vascular and Endovascular Surgery, Ruprecht-Karls University, Heidelberg, Germany


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Challenging iliac anatomy is a major limitation of endovascular repair for aortic aneurysms. Stenotic lesions, excessive calcification, tortuosity, and aneurysmal dilatation jeopardize technical success of device implantation and long-term success. This review addresses technical options in treating patients with stenotic or aneurysmatic iliac arteries. Endovascular solutions and hybrid procedures are included to demonstrate the wide scope of endovascular therapy that may be offered to patients with unfavorable iliac anatomy.


KEY WORDS: Aortic aneurysm - Iliac artery - Endovascular procedures

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