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Master Thesis

Faisabilité du traitement endovasculaire des anévrismes iliaques communs par endoprothèse iliaque branchée

Abstract : Purpose: To quantify the proportion of aorto-iliac aneurysms or isolated common iliac artery aneurysms without distal neck, eligible for endovascular repair by iliac branch graft device (IBD). Materials and methods: A retrospective bi-center study was conducted of 82 patients (80 men, 2 women) who underwent open or endovascular surgery between January 2006 and December 2010 for a common iliac artery aneurysm, isolated or associated with an abdominal aortic aneurysm. One hundred and one common iliac artery aneurysms were studied using a software sizing. For each aneurysm, lengths, angles and diameters of the common iliac arteries, external iliac and internal iliac arteries were recorded and compared with anatomical criteria recommended by the manufacturer and criteria recommended in the literature for IBD delivery. Results: Among the 101 common iliac aneurysms, 32 (32%) and 36 (36%) were eligible for an IBD delivery according to the manufacturer's recommendations and the literature data respectively. According to the manufacturer's recommendations the main adverse feature for IBD delivery was an internal iliac artery diameter > 11 mm (38%). According to literature data the main adverse feature for IBD delivery was a lumen distal common iliac artery <18 mm (43%). Conclusion: A low proportion of aorto-iliac or common iliac artery aneurysms without distal neck is eligible for endovascular repair by IBD. Endovascular repair of these aneurysms remains problematic when internal iliac artery must be preserved.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00705065
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Submitted on : Wednesday, June 6, 2012 - 5:10:39 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Friday, September 7, 2012 - 2:45:08 AM

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  • HAL Id : dumas-00705065, version 1

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Albéric De Lambert. Faisabilité du traitement endovasculaire des anévrismes iliaques communs par endoprothèse iliaque branchée. Médecine humaine et pathologie. 2012. ⟨dumas-00705065⟩

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