Early experience with covered endovascular reconstruction of the Iliac bifurcation for non-occlusive disease

Abstract

PURPOSETo present early experience with covered endovascular reconstruction of the iliac bifurcation in patients with non-occlusive aortoiliac disease. MATERIALS AND METHODSRetrospective analysis of patients treated with covered endovascular reconstruction of the iliac bifurcation between 2013 and 2022, in a single institute for non-occlusive disease. Patients’ demographics, medical history, clinical status, procedural and follow-up data were collected. Endpoints of the study were technical success, complications, patency and need for re-intervention. RESULTSSeven patients were treated with covered endovascular reconstruction of the iliac bifurcation. All the procedures were technically successful. No patient required additional interventions. The median follow-up was 29 months (range 12-48 months). No evidence of endoleak was documented in follow up. CONCLUSIONThe treatment of iliac penetrating ulcers, or aneurysms involving the IIAs or the iliac bifurcations using the covered endovascular repair of the bifurcation, is technically feasible in selected patients and anatomies. Balloon expandable stent-grafts offer an alternative in repairing the above pathologies with a simple technique and shorter arterial coverage, while the low-profile sheaths enable treatment through calcified access vessels and of small diameter arteries.