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Clinical outcomes after internal iliac artery embolization prior to endovascular aortic aneurysm repair

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Abstract

Purpose

The success of endovascular aortic aneurysm repair (EVAR) is highly dependent on the anatomical features of the aneurysm. In order to prevent type II endoleaks from the internal iliac artery (IIA), embolization of one or both IIAs may be required.

Methods

We performed a retrospective study of a prospectively gathered database of 100 patients who underwent EVAR at our institution. The case notes were examined, and patients were interviewed by telephone and specifically asked about symptoms of pelvic ischemia that they had experienced since undergoing EVAR.

Results

We identified 42 (42 %) patients who had undergone coil embolization of one or both IIAs in preparation for EVAR. The mean time from surgery to the follow-up telephone interview was 21.5 months. Buttock claudication occurred in 10 (26 %) of 38 patients. Sexual dysfunction occurred in 13 of 36 male patients (36 %). Age was associated with buttock claudication and sexual dysfunction.

Conclusion

Based on our experience, IIA embolization prior to EVAR is not a benign procedure. It can lead to numerous effects associated with pelvic ischemia, such as buttock claudication and sexual dysfunction. It is necessary to preserve both internal iliac arteries if possible, especially in young patients.

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Authors and Affiliations

  1. Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Kangnam-gu, Seoul, 135-710, Korea

    Keun-Myoung Park, Shin-Seok Yang, Young-Wook Kim & Dong-Ik Kim

  2. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Kwang Bo Park, Hong Suk Park & Young-Soo Do

Authors
  1. Keun-Myoung Park
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  2. Shin-Seok Yang
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  3. Young-Wook Kim
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  4. Kwang Bo Park
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  5. Hong Suk Park
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  6. Young-Soo Do
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  7. Dong-Ik Kim
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Correspondence to Dong-Ik Kim.

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Park, KM., Yang, SS., Kim, YW. et al. Clinical outcomes after internal iliac artery embolization prior to endovascular aortic aneurysm repair. Surg Today 44, 472–477 (2014). https://doi.org/10.1007/s00595-013-0572-y

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  • DOI: https://doi.org/10.1007/s00595-013-0572-y

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