Ces radiol. 2015, 69(2):116-121 | DOI: 10.55095/CesRadiol2015/018

Endovascular repair of ruptured abdominal aortic aneurysm and common iliac artery aneurysmOriginal article

Martin Köcher1, Petr Utíkal2, Petr Dráč2, Marie Černá1, Petr Bachleda2, Vojtěch Prášil1, Martin Hazlinger1
1 Radiologická klinika LF a FN, Olomouc
2 II. chirurgická klinika LF a FN, Olomouc

Aim: In comparison with open surgery the endovascular treatment of ruptured abdominal aortic aneurysm can avoid laparotomy with subsequent significant blood pressure drop leading to the circulation collapse while releasing of the retroperitoneum, can reduce cardiopulmonary complications and minimize blood loss. The aim of the study is to evaluate our own experience with acute endovascular treatment of ruptured abdominal aortic aneurysm and common iliac artery aneurysm.

Methods: From the year 2011 to December 2014 10 patients with average age of 69.3 years (range 61-79 years, median - 68 years) were treated for ruptured abdominal aortic aneurysm and common iliac artery aneurysm (RCIAA). Seven patients were treated for ruptured abdominal aortic aneurysm and three patients for ruptured common iliac artery aneurysm.

Results: We used the bifurcated stent-graft in eight patients: in all seven patients with RAAA and in one patient with RCIAA. In one of the seven patients with RAAA chimney technique was used. In two patients with RAAIC tubular stent-graft only can be used. Primary technical success was achieved in 100% of patients, perioperative mortality 20%. Patients were followed-up 10-38 months, mean follow-up was 13.5 months.
Seven patients were observed more than one year. Secondary endoleak type II was found at follow-up CT in one patient. In one patient thrombosis stent-graft leg was found during follow-up.

Conclusion: Based on our experience and literature results in our department currently all hemodynamically stable patients with ruptured abdominal aortic aneurysm or ruptured common iliac artery aneurysm and suitable morphology are indicated for endovascular treatment.

Keywords: ruptured abdominal aortic aneurysm, ruptured common iliac artery aneurysma, endovascular therapy
Grants and funding:

Práce byla podpořena MZ ČR - RVO (FNOL 00098892) a RVO (LF UP 61989592).

Accepted: April 13, 2015; Published: June 1, 2015  Show citation

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Köcher M, Utíkal P, Dráč P, Černá M, Bachleda P, Prášil V, Hazlinger M. Endovascular repair of ruptured abdominal aortic aneurysm and common iliac artery aneurysm. Ces radiol. 2015;69(2):116-121. doi: 10.55095/CesRadiol2015/018.
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