Interv Akut Kardiol. 2015;14(2):60-64

Endovascular therapy of ruptured aortoiliac and iliac aneurysm

Jan Raupach¹, Igor Guňka², Alexander Ferko², Miroslav Lojík¹, Vendelín Chovanec¹, Jiří Feix², Eduard Havel², Michal Leško², Pavel Janata², Ondřej Renc¹, Jolana Raupachová³, Jana Hrubešová³, Antonín Krajina¹

¹ Radiologická klinika LF UK a FN Hradec Králové

² Chirurgická klinika LF UK a FN Hradec Králové

³ Klinika anesteziologie, resuscitace a intenzivní medicíny LF UK a FN Hradec Králové

Purpose: Ruptured aortoiliac and iliac aneurysms are life-threatening situations with high mortality rate between 40–80%. We retrospectively

analyzed results of endovascular technique applied for these emergency situations.

Material/Methods: Between February 2009 and November 2014 twelve patients (12 men, mean age 75.2 years) with ruptured aortoiliac or

iliac aneurysms were endovascularly treated in our centre. There were 7 patients with rupture of degenerative aortoiliac aneurysms (rAAA),

3 patients had a rupture of internal iliac artery aneurysm (AII) and 2 rupture of common iliac artery aneurysm (AIC). We implanted bifurcated

stent graft in 7 patients, tubular stent graft in 4 patients, and 1 patient was treated with embolisation only (occluder and acrylate glue).

Results: Mean time from admissions to completion of whole procedure was 73 minutes (range 45–180 minutes). Two abdominal compartment

syndromes developed with the necessity of surgical drainage of retroperitoneal haematoma. The 30-day mortality rate in

our group was 0 %, 1 year mortality 16.7 % (2/12), total mortality 25 % (3/12). There were no procedure-related deaths during follow-up

period (median 15 months, range 4–48).

Conclusions: Endovascular therapy of ruptured aortoiliac and iliac aneurysms is in our centre technically feasible with promising early



results: We stratified patients according to specific protocol for endovascular or surgical treatment of rAAA. We would like to continue

to use endovascular approach in the treatment of ruptured aortoiliac and iliac aneurysm.

Keywords: endovascular treatment, abdominal aortic aneurysm, stent graft, rupture, iliac artery aneurysm

Published: June 1, 2015  Show citation