Pelvic revascularization during endovascular aortic aneurysm repair

Javairiah Fatima, Gustavo Oderich

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Endovascular repair of aortic aneurysms (EVAR) has gained widespread acceptance in the treatment of abdominal aortic aneurysms (AAAs). Prospective randomized studies have shown several short-term advantages compared to open surgical repair, including less blood loss, operating time, length of stay, morbidity, and mortality. The long-term ef ficacy of EVAR is dependent upon careful selection of patients with respect to anatomical factors such as excessive angulation, vessel tortuosity, or involvement of visceral or iliac arteries. Although many of these anatomical constraints were previously considered to be relative contraindications to EVAR, technological advances have expanded the indications to include patients with more challenging anatomy. This chapter summarizes the evolution of methods used for preservation of pelvic flow in patients with aortoiliac aneurysms involving one or both common iliac arteries.

Original languageEnglish (US)
Title of host publicationVascular Surgery
PublisherSpringer London
Pages47-60
Number of pages14
ISBN (Electronic)9781447129127
ISBN (Print)9781447129110
DOIs
StatePublished - Jan 1 2012

Keywords

  • Artery
  • Bypass
  • EVAR
  • Iliac artery
  • Stent graft

ASJC Scopus subject areas

  • Medicine(all)

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