지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.3
- 발행연도
- 2019.3
- 수록면
- 146 - 151 (6page)
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Purpose: Isolated iliac artery aneurysm (IIAA) is uncommon. It is frequently treated by endovascular aneurysm repair (EVAR). This study was to evaluate treatment results of IIAA and survey aortic diameter after EVAR.
Methods: Patients treated for IIAA in Seoul St. Mary"s Hospital and Bundang Seoul National University from 2005 to April 2016 were retrospectively enrolled. The inclusion criteria of IIAA was >30 mm of iliac artery aneurysm without abdominal aortic aneurysm, which was treated by open surgical repair (OSR) or EVAR. Patients’ clinical characteristics, treatment results, and mortality were obtained from electronic medical records. Diameters of aorta and iliac arteries were measured periodically with scheduled interval based on CT scans.
Results: Forty-nine patients (40 males; mean age, 71.9 ± 11.1 years) were enrolled. Five ruptured IIAAs were treated with EVAR (n = 1) or hybrid methods (n = 4). The diameter of ruptured IIAAs was 65 ± 31.4 mm, which was not significantly different from that of elective (44.3 ± 17.0 mm). Forty-four elective IIAA underwent 9 OSR, 31 EVARs, and 3 hybrid treatments (15 bifurcated and 12 straight stent-grafts). Treatment success rate was 93.8% without hospital mortality. There were 4 type I endoleak, 1 type II endoleak, and 1 type III endoleak without aneurysm-related mortality during followup. However, the aortic diameter was increased over time though there was no change or decrease in common iliac artery’s diameter.
Conclusion: Treatment of IIAA included various endovascular modalities as well as open surgery. Regular surveillance is still needed due to aortic dilatation after its treatment.
Methods: Patients treated for IIAA in Seoul St. Mary"s Hospital and Bundang Seoul National University from 2005 to April 2016 were retrospectively enrolled. The inclusion criteria of IIAA was >30 mm of iliac artery aneurysm without abdominal aortic aneurysm, which was treated by open surgical repair (OSR) or EVAR. Patients’ clinical characteristics, treatment results, and mortality were obtained from electronic medical records. Diameters of aorta and iliac arteries were measured periodically with scheduled interval based on CT scans.
Results: Forty-nine patients (40 males; mean age, 71.9 ± 11.1 years) were enrolled. Five ruptured IIAAs were treated with EVAR (n = 1) or hybrid methods (n = 4). The diameter of ruptured IIAAs was 65 ± 31.4 mm, which was not significantly different from that of elective (44.3 ± 17.0 mm). Forty-four elective IIAA underwent 9 OSR, 31 EVARs, and 3 hybrid treatments (15 bifurcated and 12 straight stent-grafts). Treatment success rate was 93.8% without hospital mortality. There were 4 type I endoleak, 1 type II endoleak, and 1 type III endoleak without aneurysm-related mortality during followup. However, the aortic diameter was increased over time though there was no change or decrease in common iliac artery’s diameter.
Conclusion: Treatment of IIAA included various endovascular modalities as well as open surgery. Regular surveillance is still needed due to aortic dilatation after its treatment.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (18)
참고문헌 신청
Garland HG / 1932 / The pathology of aneurysm : a review of 167 autopsies / J Pathol Bacteriol 25:333~350
Lowry SF / 1978 / Isolated aneurysms of the iliac artery / Arch Surg 113:1289~1293
Brunkwall J / 1989 / Solitary aneurysms of the iliac arterial system : an estimate of their frequency of occurrence / J Vasc Surg 10:381~384
United Kingdom EVAR Trial Investigators / 2010 / Endovascular versus open repair of abdominal aortic aneurysm / N Engl J Med 362:1863~1871
Patel R / 2016 / Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial / Lancet 388:2366~2374
Lowry SF / 1978 / Isolated aneurysms of the iliac artery / Arch Surg 113:1289~1293
Brunkwall J / 1989 / Solitary aneurysms of the iliac arterial system : an estimate of their frequency of occurrence / J Vasc Surg 10:381~384
United Kingdom EVAR Trial Investigators / 2010 / Endovascular versus open repair of abdominal aortic aneurysm / N Engl J Med 362:1863~1871
Patel R / 2016 / Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial / Lancet 388:2366~2374
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UCI(KEPA) : I410-ECN-0101-2019-514-000508696