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

R.S. Polyakov

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

ORCID: 0000-0002-9323-4003

D.A. Karamyan

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7803-4698

M.V. Puretsky

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

ORCID: 0000-0003-4988-4102

G.V. Mardanyan

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-7442-520X

E.R. Charchyan

Petrovsky National Research Centre of Surgery

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

A.A. Pirkova

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-5101-1004

G.S. Vlasko

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-8521-7126

S.A. Abugov

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

ORCID: 0000-0001-7636-4044

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

Authors:

R.S. Polyakov, D.A. Karamyan, M.V. Puretsky, G.V. Mardanyan, E.R. Charchyan, A.A. Pirkova, G.S. Vlasko, S.A. Abugov

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(6): 605‑611

DOI: 10.17116/kardio202316061605

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To cite this article:

Polyakov RS, Karamyan DA, Puretsky MV, Mardanyan GV, Charchyan ER, Pirkova AA, Vlasko GS, Abugov SA. 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

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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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:

R.S. Polyakov

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

ORCID: 0000-0002-9323-4003

D.A. Karamyan

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7803-4698

M.V. Puretsky

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

ORCID: 0000-0003-4988-4102

G.V. Mardanyan

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-7442-520X

E.R. Charchyan

Petrovsky National Research Centre of Surgery

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

A.A. Pirkova

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-5101-1004

G.S. Vlasko

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-8521-7126

S.A. Abugov

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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