Isolated common iliac artery aneurysms: a revised classification to assist endovascular repair

J Endovasc Ther. 2011 Oct;18(5):697-715. doi: 10.1583/11-3519.1.

Abstract

Isolated common iliac artery aneurysms (CIAAs) are relatively rare; they typically progress asymptomatically and are revealed incidentally, usually after they have acquired significant dimensions. Traditional open reconstruction is associated with high morbidity and mortality rates. Rupture is a common initial manifestation. Endovascular repair has been proposed as a minimally invasive alternative, associated with lower morbidity and mortality rates, even in patients at high surgical risk; some specialists have recently proposed endoluminal repair as the first-choice procedure in suitable anatomies. However, only a few sporadic attempts have been made to define the "suitable" anatomy for endovascular repair. This article proposes a classification of isolated CIAAs and provides endovascular specialists with a guide to deciding which type of repair is feasible and efficacious according to the anatomical configuration of the aneurysm.

Publication types

  • Review

MeSH terms

  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Decision Support Techniques
  • Endovascular Procedures* / adverse effects
  • Humans
  • Iliac Aneurysm / classification*
  • Iliac Aneurysm / diagnostic imaging
  • Iliac Aneurysm / surgery*
  • Patient Selection
  • Radiography
  • Risk Assessment
  • Risk Factors
  • Terminology as Topic*