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KMID : 0368120100400070343
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Korean Circulation Journal
2010 Volume.40 No. 7 p.343 ~ p.347
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Endovascular Treatment of Isolated Common Iliac Artery Aneurysms With Short Necks Using Bifurcated Stent-Grafts
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Wi Jin
Ko Young-Guk
Kim Jung-Sun
Choi Dong-Hoon
Hong Myeong-Ki
Lee Do-Youn
Jang Yang-Soo
Shim Won-Heum
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Abstract
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Elective surgical repair has traditionally been considered to be the treatment of choice for the exclusion of isolated iliac artery aneurysms (IAAs). Recently, endovascular repair has evolved as an alternative to surgical repair, especially in patients at high surgical risk. However, in the absence of sufficient proximal necks, iliac artery aneurysms are not suitable for direct deployment of a tubular-shaped endograft. Here we report two cases of IAAs with short proximal necks that were excluded using an endovascular bifurcated stent-graft. The bifurcated stent-graft was successfully deployed with complete exclusion of the aneurysm. In neither case was there evidence of procedural failures. There were no signs of significant complications. We conclude that endovascular repair of IAAs with short proximal necks is feasible and efficient using an endovascular bifurcated stent-graft.
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KEYWORD
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Iliac aneurysm, Stent, Endoluminal repair
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