Surgical and endovascular repair of iliac artery aneurysm
- Melissa L Kirkwood, MD
Melissa L Kirkwood, MD
- Associate Professor of Surgery
- UT Southwestern Medical Center
- Section Editors
- John F Eidt, MD
John F Eidt, MD
- Section Editor — Vascular and Endovascular Surgery
- Professor of Surgery, Texas A&M Health Science Center
- Vice Chair of Vascular Surgical Services, Baylor Heart and Vascular Hospital at Dallas
- Joseph L Mills, Sr, MD
Joseph L Mills, Sr, MD
- Section Editor — Vascular and Endovascular Surgery
- Professor and Chief
- Division of Vascular Surgery and Endovascular Therapy
- Baylor College of Medicine
Aneurysms of the iliac system affect the common iliac artery (CIA) most often and can occur in isolation or in association with abdominal aortic aneurysm (AAA). Iliac artery aneurysm presents in a variety of ways. Approximately one-half of patients are asymptomatic, and the remaining patients have symptoms related to thromboembolism or to compression of surrounding pelvic structures by the aneurysm. The primary goal of treatment is to prevent iliac artery rupture, which is associated with high mortality rates . When iliac artery aneurysm repair is indicated, an open surgical or endovascular approach can be used. The choice of repair depends upon the clinical presentation, location of the aneurysm, coexistent abdominal aortic aneurysm, and patient comorbidities.
Open surgical and endovascular repair of iliac artery aneurysm will be reviewed here. The clinical evaluation and diagnosis of iliac artery aneurysm are discussed in detail elsewhere. (See "Iliac artery aneurysm".)
INDICATIONS FOR REPAIR
Surgical or endovascular repair of iliac artery aneurysm (IAA) is indicated under the following circumstances (see "Iliac artery aneurysm", section on 'Clinical presentation' and "Iliac artery aneurysm", section on 'Management'):
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- INDICATIONS FOR REPAIR
- PELVIC CIRCULATION
- OPEN SURGICAL VERSUS ENDOVASCULAR REPAIR OF ILIAC ARTERY ANEURYSMS
- Antithrombotic therapy
- Prophylactic antibiotics
- Prevention of contrast-induced nephropathy
- OPEN SURGICAL REPAIR
- Common iliac artery aneurysm
- Operative repair of internal iliac artery aneurysm
- ENDOVASCULAR REPAIR
- Associated abdominal aortic aneurysm
- - Branched grafts
- Isolated common iliac artery aneurysm
- Internal iliac artery embolization
- ANEURYSM SURVEILLANCE
- SUMMARY AND RECOMMENDATIONS