Endoprótese ramificada de artéria ilíaca interna no tratamento de aneurisma aórtico associado a aneurisma bilateral das artérias ilíacas comuns

Marcelo Martins da Volta Ferreira; Luis Fernando Capotorto; Giafar Abuhadba Rondon; Marcelo Wiliams Monteiro; Cyntia de Moraes Rego Soares; Luiz Lanziotti Azevedo

doi:10.1590/S1677-54492006000300011

Case Report

Endoprótese ramificada de artéria ilíaca interna no tratamento de aneurisma aórtico associado a aneurisma bilateral das artérias ilíacas comuns

Branched stent-graft to the internal iliac artery for treatment of aortic aneurysm associated with bilateral common iliac artery aneurysm

Marcelo Martins da Volta Ferreira; Luis Fernando Capotorto; Giafar Abuhadba Rondon; Marcelo Wiliams Monteiro; Cyntia de Moraes Rego Soares; Luiz Lanziotti Azevedo

http://dx.doi.org/10.1590/S1677-54492006000300011 J Vasc Bras, vol.5, n3, p.220-223, 2006

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Resumo

A embolização das artérias ilíacas internas é usualmente realizada durante a correção endovascular dos aneurismas aorto-ilíacos, visando prevenir a ocorrência de endoleak. Entretanto, é freqüente a associação desse procedimento com inúmeras seqüelas pós-operatórias, em decorrência da diminuição do fluxo sangüíneo pélvico. Em virtude disso, torna-se necessário o desenvolvimento de dispositivos e estratégias para a preservação das artérias ilíacas internas durante a correção endovascular dos aneurismas aorto-ilíacos. Descrevemos aqui o emprego pioneiro de uma endoprótese ramificada Helical Sidebranch (Cook) para a artéria ilíaca interna, realizado com sucesso técnico imediato e controle pós-operatório satisfatório.

Palavras-chave

Aneurisma aórtico, artéria ilíaca, cirurgia

Abstract

Embolization of internal iliac arteries is usually performed during endovascular repair of aortoiliac aneurysms, with the aim of preventing occurrence of endoleaks. However, the association of this procedure with several postoperative sequelae is frequent, due to reduced pelvic blood flow. For this reason, there is the need to develop devices and strategies to preserve internal iliac arteries during endovascular repair of aortoiliac aneurysms. In this study, we describe a pioneering use of a Helical Sidebranch (Cook) branched stent-graft to the internal iliac artery, which was performed with immediate technical success and satisfactory postoperative control.

Keywords

Aortic aneurysm, iliac artery, surgery

References

Sandhu RS, Pipinos II. Isolated iliac artery aneurysms. Semin Vasc Surg.. 2005;18:209-15.

Nagarajan M, Chandrasekar P, Krishnan E, Muralidharan S. Repair of iliac artery aneurysms by endoluminal grafting: the systematic approach of one institution. Tex Heart Inst J.. 2000;27:250-2.

Krajcer Z, Khoshnevis R, Leachman DR, Herman H. Endoluminal exclusion of an iliac artery aneurysm by Wallstent endoprosthesis and PTFE vascular graft. Tex Heart Inst J.. 1997;24:11-4.

Diethrich EB. Endoluminal grafting in the treatment of iliac and superficial femoral artery disease. Tex Heart Inst J.. 1997;24:185-92.

Mehta M, Veith FJ, Darling RC. Effects of bilateral hypogastric artery interruption during endovascular and open aortoiliac aneurysm repair. J Vasc Surg.. 2004;40:698-702.

Greenberg RK. Branch endograft to revascularize hypogastric arteries during EVAR with iliac aneurysms. Proceedings. 2005.

Lin PH, Bush RL, Chaikof EL. A prospective evaluation of hypogastric artery embolization in endovascular aortoiliac aneurysm repair. J Vasc Surg.. 2002;36:500-6.

Dix FP, Titi M, Al-Khaffaf H. The isolated internal iliac artery aneurysm: a review. Eur J vasc Endovasc Surg.. 2005;30:119-29.

Abraham CZ, Reilly LM, Schneider DB. A multi-branched system for endovascular repair of bilateral common iliac artery aneurysms. J Endovasc Ther.. 2003;10:203-7.

Delle M, Lönn L, Wingren U. Preserved pelvic circulation after stent-graft treatment of complex aortoiliac artery aneurysms: a new approach. J Endovasc Ther.. 2005;12:189-95.

Karch LA, Hodgson KJ, Mattos MA. Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg.. 2000;32:676-83.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">

Endoprótese ramificada de artéria ilíaca interna no tratamento de aneurisma aórtico associado a aneurisma bilateral das artérias ilíacas comuns

Branched stent-graft to the internal iliac artery for treatment of aortic aneurysm associated with bilateral common iliac artery aneurysm

Marcelo Martins da Volta Ferreira; Luis Fernando Capotorto; Giafar Abuhadba Rondon; Marcelo Wiliams Monteiro; Cyntia de Moraes Rego Soares; Luiz Lanziotti Azevedo

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