Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair

Laura A. Karch, Kim J. Hodgson, Mark A. Mattos, William T. Bohannon, Don E. Ramsey, Robert Mclafferty

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Purpose: Most endografts for an endoluminal AAA repair cannot achieve an adequate hemostatic seal in ectatic common iliac arteries larger than 14 mm. The extension of the endograft into the external iliac artery, can alleviate this problem but requires sacrifice of the internal iliac artery. We have used the larger diameter aortic extension cuff to obtain adequate endograft to arterial wall apposition in patients with ectatic, nonaneurysmal common iliac arteries. Because of the resultant flared configuration of the iliac limb, the technique is termed bell-bottom. However, it is unknown whether subsequent enlargement of these ectatic common iliac arteries that will lead to endoleaks or endograft migration will occur. Methods: The records of all 96 patients who have undergone endoluminal abdominal aortic aneurysm repair at our institution were reviewed. Fourteen patients were identified in whom aortic extension cuffs were placed into 18 ectatic (>14 mm, but

Original languageEnglish (US)
JournalJournal of Vascular Surgery
Volume33
Issue number2 SUPPL.
StatePublished - 2001
Externally publishedYes

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Aortic Aneurysm
Iliac Artery
Endoleak
Abdominal Aortic Aneurysm
Hemostatics
Angioplasty
Extremities

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Karch, L. A., Hodgson, K. J., Mattos, M. A., Bohannon, W. T., Ramsey, D. E., & Mclafferty, R. (2001). Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair. Journal of Vascular Surgery, 33(2 SUPPL.).

Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair. / Karch, Laura A.; Hodgson, Kim J.; Mattos, Mark A.; Bohannon, William T.; Ramsey, Don E.; Mclafferty, Robert.

In: Journal of Vascular Surgery, Vol. 33, No. 2 SUPPL., 2001.

Research output: Contribution to journalArticle

Karch, LA, Hodgson, KJ, Mattos, MA, Bohannon, WT, Ramsey, DE & Mclafferty, R 2001, 'Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair', Journal of Vascular Surgery, vol. 33, no. 2 SUPPL..
Karch, Laura A. ; Hodgson, Kim J. ; Mattos, Mark A. ; Bohannon, William T. ; Ramsey, Don E. ; Mclafferty, Robert. / Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair. In: Journal of Vascular Surgery. 2001 ; Vol. 33, No. 2 SUPPL.
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