Pirvu A, Gallet N, Perou S, Thony F, Magne J-L
Department of Vascular and Surgery, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 09, France.
Department of Vascular and Surgery, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 09, France.
J Med Vasc. 2017 May;42(3):157-161. doi: 10.1016/j.jdmv.2017.03.002. Epub 2017 Apr 18.
We describe the immediate and midterm results of endovascular treatment of isolated internal iliac artery aneurysms (IIAA).
This was a retrospective single center study. From 2005 to 2014, data from 20 consecutive patients who had an embolisation for an isolated atherosclerotic internal iliac artery aneurysm underwent an endovascular treatment. We retrospectively evaluated the technical aspects and outcomes.
The mean aneurysm diameter was 42mm (range 30-97mm). No perioperative deaths or treatment failures occurred. No endoleaks or secondary aneurysm ruptures were observed during the follow-up. Three patients experienced disabling buttock claudication, which was spontaneously remissive in two cases. No relationship was found between buttock claudication and the patency of the contralateral internal iliac artery and the deep femoral artery. Six patients (30%) died during follow-up. Among these, three patients died due to cardiovascular events. The mean follow-up interval was 24 months (range 6-96 months).
The endovascular treatment of isolated internal iliac artery aneurysm is safe in the short-term and could prevent secondary aneurysm rupture at midterm.
我们描述孤立性髂内动脉瘤（IIAA）血管内治疗的近期和中期结果。
这是一项回顾性单中心研究。2005年至2014年，对20例因孤立性动脉粥样硬化性髂内动脉瘤接受栓塞治疗的连续患者的数据进行了血管内治疗。我们回顾性评估了技术方面和结果。
动脉瘤平均直径为42mm（范围30 - 97mm）。未发生围手术期死亡或治疗失败。随访期间未观察到内漏或继发性动脉瘤破裂。3例患者出现致残性臀部跛行，其中2例自行缓解。未发现臀部跛行与对侧髂内动脉及股深动脉通畅情况之间存在关联。6例患者（30%）在随访期间死亡。其中，3例患者死于心血管事件。平均随访间隔为24个月（范围6 - 96个月）。
孤立性髂内动脉瘤的血管内治疗在短期内是安全的，并且在中期可预防继发性动脉瘤破裂。
