Introduction Iliac artery aneurysms (IAAs) commonly occur concurrently with more proximal arterial aneurysms. Isolated iliac aneurysms occur with an incidence of 0.4% to 1.9% in the general population. , Aneurysmal degeneration typically involves the common iliac artery (CIA, 70%–90%) and…
Introduction Rupture of an abdominal aortic aneurysm (RAAA) conveys a mortality risk 5- to 10-fold higher vs. elective repair. A major decline in RAAA incidence is now evident in both North America and Europe ( Fig. 76.1 ). , Despite…
The first stent-based endoprosthesis with aortoiliac fixation was used in a human in May of 1985 to treat iliac artery stenosis. This technology was then used to treat aneurysmal disease in March of 1987, when a stent graft was delivered…
Introduction Current commercially available systems have a wide variety of configurations that are capable of treating the majority of infrarenal aortoiliac aneurysms. Various options exist for stent-graft fixation, sealing, patency, sizing, and durable exclusion of aortic aneurysms. Radiopacity, deployment precision,…
Introduction Abdominal aortic aneurysm (AAA) is a common disorder with an estimated incidence of 4%–7% in western countries. It the 13th-leading cause of death in the United States, with 15,000 deaths yearly. Ruptured AAA (RAAA) continues to carry an operative…
Introduction Ancient Egyptians were the first to recognize aortic aneurysms as early as 1550 bce, and Antyllus was the first to attempt treatment of aneurysms through ligation of the vessels, but this was met with poor results. , Through time…
Introduction The term aneurysm describes dilatation of any blood vessel. Arterial aneurysms occur throughout the body but are most prevalent in the infrarenal aorta (AAA). These aneurysms represent the primary cause of the death and disability attributed to arterial aneurysms.…
Introduction Endovascular aortic surgery is nearly ubiquitous in modern vascular practice, and has largely supplanted open surgery for appropriate anatomy across virtually the entire length of the aorta. With medical device companies vying for market share, device innovation has been…
Endovascular therapy has changed the landscape of vascular surgical practice. A major thrust into catheter-based therapy was initiated in 1999 with the US Food and Drug Administration (FDA) approval of endografts for aneurysmorrhaphy. As this important technique became ubiquitous, surgeons…
Basic Principles Surgical repair or replacement of diseased blood vessels, including aortic reconstruction for aneurysmal disease, bypass of occlusive atherosclerotic lesions, vascular trauma, oncologic vascular reconstruction, and creation of durable arteriovenous access for hemodialysis, remains a mainstay of modern vascular…