Incidence of endograft limb thrombosis in different types of endovascular aortoiliac aneurysm repair

Polyakov RS, Karamyan DA, Puretsky MV, et al. . Incidence of endograft limb thrombosis in different types of endovascular aortoiliac aneurysm repair. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(6):605‑611. (In Russ.)
https://doi.org/10.17116/kardio202316061605

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To compare the incidence of endograft limb thrombosis in different types of endovascular aortoiliac aneurysm repair.

MATERIAL AND METHODS

We retrospectively analyzed 72 patients with aortoiliac aneurysm divided into 2 groups depending on endovascular procedure and internal iliac artery perfusion. The first group included 31 patients who underwent EVAR without internal iliac artery occlusion. The second group included 41 patients who underwent EVAR with unilateral or bilateral internal iliac artery coverage.

RESULTS

Primary technical success was achieved in all patients. All patients underwent survey and CT-aortography after 1 and 12 months. There were no cases of buttock claudication in the first group. In the second group, this event developed in 6 patients and regressed without intervention in 3 cases. There were 6 cases of endograft limb thrombosis in the second group, all patients underwent open surgery. No thrombosis was noted in the first group. No aneurysm growth or endoleak type Ib/II with need for redo intervention and signs of pelvic ischemia were observed in any patient.

CONCLUSION

Iliac bifurcation device significantly reduces the incidence of endograft limb thrombosis in patients with aortoiliac aneurysm.

Keywords:

aortoiliac aneurysm

endovascular aneurysm repair

iliac bifurcation device implantation

internal iliac artery coverage

endograft limb thrombosis

Authors:

Polyakov R.S.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0002-9323-4003

Karamyan D.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7803-4698

Puretsky M.V.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0003-4988-4102

Mardanyan G.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-7442-520X

Charchyan E.R.

Petrovsky National Research Centre of Surgery

SPIN RSCI: 4641-0523
Scopus AuthorID: 14044681400
ORCID: 0000-0002-0488-2560

Pirkova A.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-5101-1004

Vlasko G.S.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-8521-7126

Abugov S.A.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0001-7636-4044

Received:

22.01.2023

Accepted:

02.04.2023

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