Heye S
Department of Radiology, University Hospital Gasthuisberg, Leuven, Belgium.
Acta Chir Belg. 2006 Mar-Apr;106(2):144-8. doi: 10.1080/00015458.2006.11679861.
Endovascular repair of abdominal aortic aneurysms involving the iliac artery, which is seen in about 20% of patients, requires extension of the stent-graft limb into the external iliac artery. Occlusion of the IIA is used to prevent a potential type II endoleak via retrograde flow in the IIA after covering the IIA origin with a stent-graft limb. In this article, the major indications for coil-embolization of the internal iliac artery in aneurysmal disease are reviewed and discussed, as well as the technique and the outcome regarding endoleak incidence and complications.
腹主动脉瘤累及髂动脉（约20%的患者可见）的血管内修复需要将覆膜支架移植物的分支延伸至髂外动脉。在覆膜支架移植物覆盖髂内动脉起始部后，闭塞髂内动脉可防止通过髂内动脉逆行血流导致的潜在II型内漏。本文回顾并讨论了在动脉瘤疾病中行髂内动脉弹簧圈栓塞的主要适应证，以及内漏发生率和并发症方面的技术与结果。
