Aortoiliac aneurysms: Management with endovascular stent-graft placement

Kenneth D. Murphy, Goetz M. Richter, Michel Henry, Carlos E. Encarnacion, Van A. Le, Julio C. Palmaz

Research output: Contribution to journalArticle

89 Scopus citations

Abstract

PURPOSE: To evaluate endovascular stent-graft placement for management of aortoiliac aneurysms. MATERIALS AND METHODS: Balloon-expandable stents covered with polytetrafluoroethylene were placed in 11 aortoiliac lesions in nine male non-surgical candidates (mean age, 63.5 years). There were six abdominal aortic aneurysms, four iliac artery aneurysms, and one acute pseudoaneurysm from a ruptured iliac artery. Stent-grafts were dilated up to 14 mm (iliac) and 24 mm (aorta). Patients underwent follow-up computed tomography and angiography. RESULTS: Stent-grafts were successfully placed in all 11 cases. There were two complications: a ruptured iliac artery treated with placement of an additional covered stent and a lower-extremity vessel embolization and bowel infarction resulting in death. All stent-grafts remained patent without increased aneurysmal diameter. Three leaks (27%) were detected. Two leaks were treated with placement of additional covered stents. One still is asymptomatic. CONCLUSION: Endovascular treatment of aortoiliac aneurysms with stent-graft devices may be an alternative to surgery.

Original languageEnglish (US)
Pages (from-to)473-480
Number of pages8
JournalRadiology
Volume198
Issue number2
DOIs
StatePublished - Feb 1996

Keywords

  • Aneurysm, aortic
  • Aneurysm, iliac
  • Arteries, grafts and prostheses
  • Interventional procedures
  • Stents and prostheses

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Murphy, K. D., Richter, G. M., Henry, M., Encarnacion, C. E., Le, V. A., & Palmaz, J. C. (1996). Aortoiliac aneurysms: Management with endovascular stent-graft placement. Radiology, 198(2), 473-480. https://doi.org/10.1148/radiology.198.2.8596852