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Balloon Embolization of the Internal Iliac Artery before Aneurysm Endograft Deployment
Ist Teil von
Journal of vascular and interventional radiology, 2001-05, Vol.12 (5), p.637-639
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2001
Quelle
MEDLINE
Beschreibungen/Notizen
Six patients, ranging from 69 to 81 years of age, underwent iliac artery embolization with use of Detachable Silicon Balloons (DSB) 11–14 days before stent-graft repair of aneurysms. Balloons of 8.8-mm, 9.4-mm, and 9.9-mm sizes were used with 20–30 g of release force. Deployment difficulty was experienced in three cases. Five of six cases were successful, with the iliac artery remaining occluded at the time of endografting; one case required subsequent coil replacement. The average operative time for balloon embolization (75 min ± 28) was shorter than that in 18 cases of coil embolization performed within the same time period (111 min ± 105), but the difference was not significant (
P = .21). Postoperatively, one patient (17%) reported buttock claudication after the procedure. Use of the DSB represents an alternative to use of coils for embolization of large and tortuous iliac arteries.