Onyx Embolization for Occlusion of the Proximal Internal Iliac Artery During EVAR in Patients with Unsuitable Landing Zones in the Common Iliac Artery

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Kjellin, PerLund University,Helsingborg Hospital,Helsingborg Hosp, Sweden; Lund Univ, Sweden (författare)

Onyx Embolization for Occlusion of the Proximal Internal Iliac Artery During EVAR in Patients with Unsuitable Landing Zones in the Common Iliac Artery

Artikel/kapitelEngelska2019

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2019-03-07
Springer Science and Business Media LLC,2019

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LIBRIS-ID:oai:lup.lub.lu.se:9afb1331-012c-475b-8302-a6126abb55b3
https://lup.lub.lu.se/record/9afb1331-012c-475b-8302-a6126abb55b3URI
https://doi.org/10.1007/s00270-019-02188-8DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-158540URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

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Funding Agencies|Stig and Ragna Gorthons foundation for medical research
Background: Twenty percent of the patients with AAA have an aneurysm involving the common iliac arteries. Large common iliac diameter can be treated with an iliac branched device or extension of the stent graft to the external iliac artery with occlusion of the ipsilateral internal iliac artery (IIA) to prevent type 2 endoleaks. This study describes and evaluates a embolization technique using Onyx in conjunction with EVAR in aneurysms with poor landing zones in the common iliac arteries. Methods: Patients with Onyx IIA embolization during EVAR, identified from the hospital operating code database, constitute the study population. Onyx embolization was performed by injection at the IIA origin. Peri- and postoperative complications were collected from the medical records. Thin-sliced CT scan was performed 1 month and 1 year after the procedure. Results: Thirty-six patients with complex iliac anatomy and insufficient landing zones (without sealing possibility for standard stent grafts) were identified out of 243 consecutive EVAR treatments during a 13-year period. In seventeen patients (7%), the IIA was embolized with Onyx. Technical success was obtained in all 17 patients, without adverse event or procedural complication. No complication related to the embolization procedure was noted during follow-up. Conclusions: During EVAR treatment of patients with aneurysm involving the common iliac artery, Onyx embolization of IIA is a feasible option without need of selective catheterization of the IIA orifice, potentially preserving important branches of the IIA and simplifying emergency procedures.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Abdominal aortic aneurysms (AAA)
Endovascular repair (EVAR)
Iliac arteries
Onyx embolization
Endovascular repair (EVAR); Abdominal aortic aneurysms (AAA); Onyx embolization; Iliac arteries

Biuppslag (personer, institutioner, konferenser, titlar ...)

Pärsson, HåkanLinköpings universitet,Linköping University,Helsingborg Hospital,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Helsingborg Hosp, Sweden(Swepub:liu)hakpa77 (författare)
Lindgren, Hans I.V.Lund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital,Helsingborg Hosp, Sweden; Lund Univ, Sweden(Swepub:lu)med-hlg (författare)
Lund UniversityHelsingborg Hospital (creator_code:org_t)

Sammanhörande titlar

Ingår i:Cardiovascular and Interventional Radiology: Springer Science and Business Media LLC42:7, s. 956-9610174-15511432-086X

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Cardiovascular and Interventional Radiology (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Kjellin, Per; Pärsson, Håkan; Lindgren, Hans I ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

Artiklar i publikationen: Cardiovascular a ...

Av lärosätet: Lunds universitet; Linköpings universitet

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