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How safe is internal iliac artery embolisation prior to EVAR? A 10-year retrospective review.

Abstract：

PURPOSE:Internal iliac artery (IIA) embolisation is commonly performed prior to endovascular aneurysm repair (EVAR) of aortoiliac aneurysms to prevent type 2 endoleaks via the internal iliac arteries. The safety of this procedure is controversial due to the high incidence of pelvic ischaemic complications. METHODS:We undertook a retrospective review of all patients undergoing IIA embolisation before EVAR from 2002 to 2012, to determine incidence of, and factors associated with pelvic ischaemia. RESULTS:Eight of 25 patients (32 %) experienced new-onset ischaemia, including erectile dysfunction (4 %), and buttock claudication (28 %) that persisted >6 months in only four patients (16 %). Both bilateral IIA embolisation and a shorter time interval to EVAR correlate with increased risk (p = 0.006 and p = 0.044). No co-morbidities or demographic factors were predictive. CONCLUSIONS:We conclude that IIA embolisation remains a beneficial procedure, however, to minimise the risk of buttock claudication we advise against both bilateral IIA embolisation and short time intervals between embolisation and subsequent EVAR.

journal_name

Ir J Med Sci

journal_title

Irish journal of medical science

authors

McGarry JG,Alenezi AO,McGrath FP,Given MF,Keeling AN,Moneley DS,Leahy AL,Lee MJ

doi

10.1007/s11845-015-1384-4

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

865-869

issue

4

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-015-1384-4

journal_volume

185

pub_type

杂志文章

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