Interventional Requirements in Cardiovascular Surgery with a Case Report: Coil Embolization

Abstract

Endovascular aneurysm repair (EVAR) for abdominal aortic aneurismal disease has increasingly gained widespread application. Aneurysm extends into at least one of the iliac arteries in approximately 20%-30% of patients. The presence of an internal iliac artery aneurysm is one of the most important issues that may dictate a modified approach in EVAR. Herein, we aimed to emphasize the interventional skills that surgeons should have in daily practice in a patient who had abdominal aortic aneurysm concomitantly with an internal iliac artery aneurysm. Coil embolization was performed for the internal iliac artery aneurysm.

Keywords

• Abdominal aortic aneurysm,endovascular procedures,iliac aneurysm,peripheral vascular diseases,coil embolization

Bir Olgu Sunumu ile Kardiyovasküler Cerrahide Girişimsel Gereklilikler: Coil Embolizasyon

Abstract

Abdominal aort anevrizmasının endovasküler onarımı (EVAR) giderek artan oranlarda kullanılmaktadır. Anevrizma, hastaların %20 ila %30’unda iliyak arterlerin en az birini etkilemektedir. İnternal iliyak arter anevrizması, EVAR’da modifikasyona ihtiyaç gösteren en önemli konulardan biridir. Abdominal aort anevrizması ile birlikte internal iliyak arter anevrizması da bulunan ve bu sebepten ötürü internal iliyak artere coil embolizasyonu yapılan bu olgu sunumunda cerrahların günlük pratiklerinde ihtiyaç duyabilecekleri girişimsel ihtiyaçların vurgulanmasını hedefledik.

Keywords

• Abdominal aort anevrizması,endovasküler prosedürler,iliyak anevrizma,periferik vasküler hastalıklar,coil embolizasyon

References

1. 1. Karthikesalingam A, Hinchliffe RJ, Holt PJ, Boyle JR, Loftus IM, Thompson MM. Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg 2010;39:285-94.
2. 2. Papazoglou KO, Sfyroeras GS, Zambas N, Konstantinidis K, Kakkos SK, Mitka M. Outcomes of endovascular aneurysm repair with selective internal iliac artery coverage without coil embolization. J Vasc Surg 2012;56:298-303.
3. 3. Unno N, Inuzuka K, Yamamoto N, Sagara D, Suzuki M, Konno H. Preservation of pelvic circulation with hypogastric artery bypass in endovascular repair of abdominal aortic aneurysm with bilateral iliac artery aneurysms. J Vasc Surg 2006;44:1170-5.
4. 4. Lee C, Dougherty M, Calligaro K. Concomitant unilateral internal iliac artery embolization and endovascular infrarenal aortic aneurysm repair. J Vasc Surg 2006;43:903-7.
5. 5. Yano OJ, Morrissey N, Eisen L, Faries PL, Soundararajan K, Wan S, et al. Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysm. J Vasc Surg 2001;34:204-11.
6. 6. Wyers MC, Schermerhorn ML, Fillinger MF, Powell RJ, Rzucidlo EM, Walsh DB, et al. Internal iliac occlusion without coil embolization during endovascular abdominal aortic aneurysm repair. J Vasc Surg 2002;36:1138-45.
7. 7. Frahmand P, Becquemin JP, Desgranges P, Allaire E, Marzelle J, Roudot-Thoraval F. Is Hypogastric Artery Embolization during Endovascular Aortoiliac Aneurysm Repair (EVAR) innocuous and useful? Eur J Vasc Endovasc Surg 2008;35:429-35.