ENDOVASCULAR REPAIR OF ILIAC ARTERY ANEURYSM WITH ENDOPROSYSTEM-I - AMULTICENTRIC FRENCH STUDY

Due to their position deep in the pelvis, the classical surgical treat ment of iliac artery aneurysm leads to a high morbidity and mortality rate. The transfemoral percutaneous repair of these aneurysms is now p ossible thanks to a new device the endoprosystem I from <<Mintech>>. W e began in 1994 a study including radiological, cardiac and vascular c enters all of them skilled in endovascular procedures. 27 patients ent ered the study: 1 patient died, 2 attempt failed and 2 presented leaka ge: the immediate failure rate was then 18.5%. For the late result (mi n 6, Max 19, mean 12 months) we had 1 thrombosis treated by surgery, 1 restenosis treated by PTA. We did not see any polyester dilatation or reactivation of aneurysm at the scan control at one year. We conclude that the percutaneous treatment of iliac aneurysm is possible and saf e but we need long term result to validate the method.