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  • Title: Fate of iliac arteries following open abdominal aortic aneurysm repair.
    Author: Bruen KJ, Lee WA.
    Journal: Semin Vasc Surg; 2009 Jun; 22(2):99-101. PubMed ID: 19573749.
    Abstract:
    Iliac artery aneurysms are a frequent finding in patients with abdominal aortic aneurysms. The decision of whether to perform a tubular or bifurcated repair rests on a balance between the natural history of the iliac arteries during the lifetime of the patient versus the risk of symptomatic pelvic ischemia and the increased complexity of a bifurcated repair. The relatively recent increase in the use of cross-sectional imaging, especially in the setting of long-term endograft surveillance, has provided useful data on which to base these clinical decisions. A tube graft repair appears to be safe and durable in patients undergoing open aneurysm repair, when suitable distal aortic anatomy and normal iliac arteries are present. A bifurcated graft should be considered in younger patients with moderate sized iliac aneurysms (<30 mm in diameter), as well as in almost all patients with larger iliac aneurysms.
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