grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2021-180-5-34-41grekov-1816Research ArticleОПЫТ РАБОТЫEXPERIENCE OF WORKОпыт использования бифуркационного ­подвздошного стент-графта при лечении аневризм общей подвздошной артерииExperience of iliac branch device usage in the treatment of common iliac artery aneurysmshttps://orcid.org/0000-0001-5102-4166КузьминН. В.KuzminN. V.

Кузьмин Николай Валерьевич, врач по рентгеноэндоваскулярным методам диагностики и лечения

199106, Санкт-Петербург, Большой пр. Васильевского острова, д. 85

Kuzmin Nikolay V., Doctor of X-ray Endovascular Methods of Diagnosis and Treatment

199106, Saint Petersburg, Bolshoy pr. of Vasilievsky island, 85

nickolaykuzmin.spb@yandex.ruhttps://orcid.org/0000-0002-1054-2896ТепляковД. В.TeplyakovD. V.

Тепляков Дмитрий Валентинович, кандидат медицинских наук, зав. отделением рентгеноэндоваскулярных методов диагностики и лечения

199106, Санкт-Петербург, Большой пр. Васильевского острова, д. 85

Teplyakov Dmitriy V., Cand. of Sci. (Med.), Head of the Department of X-ray Endovascular Methods of Diagnosis and Treatment

199106, Saint Petersburg, Bolshoy pr. of Vasilievsky island, 85

https://orcid.org/0000-0002-2401-324XВолковА. В.VolkovA. V.

Волков Александр Валерьевич, врач по рентгеноэндоваскулярным методам диагностики и лечения

199106, Санкт-Петербург, Большой пр. Васильевского острова, д. 85

Volkov Aleksandr V., Doctor of X-ray Endovascular Methods of Diagnosis and Treatment

199106, Saint Petersburg, Bolshoy pr. of Vasilievsky island, 85

https://orcid.org/0000-0002-9323-4003ПоляковР. С.PolyakovR. S.

Поляков Роман Сергеевич, доктор медицинских наук, ведущий научный сотрудник отделения рентгеноэндоваскулярных методов диагностики и лечения

Москва

Polyakov Roman S., Dr. of Sci. (Med.), Leading Research Fellow of the Department of X-ray Endovascular Methods of Diagnosis and Treatment

Moscow

Санкт-Петербургское бюджетное учреждение здравоохранения «Городская Покровская больница»РоссияPokrovskaya City hospitalRussian FederationФедеральное государственное бюджетное научное учреждение «Российский научный центр хирургии имени академика Б. В. Петровского»РоссияPetrovsky National Research Center of SurgeryRussian Federation20212911202118053441Copyright © Кузьмин Н.В., Тепляков Д.В., Волков А.В., Поляков Р.С., 20222022Кузьмин Н.В., Тепляков Д.В., Волков А.В., Поляков Р.С.Kuzmin N.V., Teplyakov D.V., Volkov A.V., Polyakov R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1816

ЦЕЛЬ. Анализ накопленного опыта выполнения вмешательств с использованием бифуркационного подвздошного эндопротеза у пациентов с аневризмой общей подвздошной артерии.МЕТОДЫ И МАТЕРИАЛЫ. Представлены краткосрочные результаты оперативных вмешательств у 2 пациентов с патологией инфраренальной аорты и билатеральной патологией подвздошных артерий. В обоих случаях с целью сохранения кровотока в одной из внутренних подвздошных артерий был использован бифуркационный подвздошный эндопротез, ветви контрлатеральной внутренней подвздошной артерии подвергались одномоментной эмболизации спиралями.РЕЗУЛЬТАТЫ. Технический успех достигнут в обоих вмешательствах. В послеоперационном периоде у 1 из пациентов возникла высокая перемежающая хромота (со стороны эмболизированной внутренней подвздошной артерии), получен хороший эффект от консервативной терапии. При контрольных компьютерно-томографических исследованиях не было выявлено эндоподтеканий, тромбоза зон эндопротезирования.ЗАКЛЮЧЕНИЕ. Применение бифуркационного подвздошного компонента позволяет сохранить тазовый кровоток и может быть рассмотрено как основной метод эндоваскулярного лечения у больных с аневризмой общей подвздошной артерии, особенно в случае билатерального поражения.

The OBJECTIVE was to analyze the accumulated experience of interventions using the iliac branch device (IBD) in patients with common iliac artery aneurysm.METHODS AND MATERIALS. The article presents short-term results of surgical interventions in two patients with pathology of the infrarenal aorta and bilateral pathology of the iliac arteries. In both cases, in order to preserve blood flow in one of the internal iliac arteries, IBD was used. The branches of the contralateral internal iliac artery were simultaneous embolized with coils.RESULTS. Technical success was achieved in both interventions. In the postoperative period one of the patients developed high intermittent claudication (from the embolized internal iliac artery), the conservative therapy provided positive effect. Control CT did not reveal endoleaks and thrombosis of the endoprosthesis.CONCLUSION. The use of IBD allows to preserve pelvic blood flow and can be considered as the main method of endovascular treatment in patients with aneurysm of the common iliac artery, especially in the case of bilateral lesions.

аневризма абдоминальной аортыаневризма подвздошной артериинеблагоприятная посадочная зонабифуркационный подвздошный стент-графтabdominal aortic aneurysmiliac artery aneurysmunfavorable landing zoneiliac branch deviceReferencesVerzini F., Parlani G., Romano L. et al. Endovascular treatment of iliac aneurysm : Concurrent comparison of side branch endograft versus hypogastric exclusion // Journal of Vascular Surgery. 2009. № 49. P. 1154–1161. Doi:10.1016/j.jvs.2008.11.100.Verzini F., Parlani G., Romano L., Rango P. D., Panuccio G., Cao P. Endovascular treatment of iliac aneurysm: Concurrent comparison of side branch endograft versus hypogastric exclusion // Journal of Vascular Surgery. 2009;(49):1154–1161. Doi:10.1016/j.jvs.2008.11.100.Pavlidis D., Hormann M., Libicher M. et al. Buttock claudication after interventional occlusion of the hypogastric artery – a mid-term follow-up // Vascular and Endovascular Surgery 2012. Vol. 46, № 3. P. 236–241. Doi:10.1177/1538574411436329.Pavlidis D., Hormann M., Libicher M., Gawenda M., Brunkwall J. Buttock claudication after interventional occlusion of the hypogastric artery – a mid-term follow-up // Vascular and Endovascular Surgery. 2012;46(3):236–241. Doi:10.1177/1538574411436329.Brunkwall J., Hauksson H., Bengtsson H. et al. Solitary aneurysms of the iliac arterial system : an estimate of their frequency of occurrence // J. Vasc. Surg. 1989. Vol. 10, № 4. P. 381–384.Brunkwall J., Hauksson H., Bengtsson H., Bergqvist D., Takolander R., Bergentz S. E. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence // J Vasc Surg. 1989;10(4):381–384.Huang Y., Gloviczki P., Duncan A. A. et al. Common iliac artery aneurysm : Expansion rate and results of open surgical and endovascular repair // J. Vasc. Surg. 2008. Vol. 47, № 6. P. 1203–1210.Huang Y., Gloviczki P., Duncan A. A., Kalra M., Hoskin T. L., Oderich G. S., McKusick M. A., Bower T. C. Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair // J Vasc Surg. 2008;47(6):1203–1210.Patel N. V., Long G. W., Cheema Z. F. et al. Open vs. endovascular repair of isolated iliac artery aneurysms : a 12-year experience // Journal of Vascular Surgery. 2009. № 49. P. 1147–1153.Patel N. V., Long G. W.., Cheema Z. F., Rimar K., Brown O. W., Shanley C. J. Open vs. endovascular repair of isolated iliac artery aneurysms: a 12-year experience // Journal of Vascular Surgery. 2009;49:1147–1153.Farahmand P., Becquemin J. P., Desgranges P. et al. Is hypogastric artery embolization during endovascular aortoiliac aneurysm repair innocuous and useful? // Europe Journal of Vascular and Endovascular Surgery. 2008. № 35. P. 429–435.Farahmand P., Becquemin J. P., Desgranges P., Allaire E., Marzelle J., Roudot-Thoraval F. Is hypogastric artery embolization during endovascular aortoiliac aneurysm repair innocuous and useful? // Europe Journal of Vascular and Endovascular Surgery. 2008;(35):429–435.Miller A., Marotta M., Scordi-Bello I. et al. Ischemic colitis after endovascular aortoiliac aneurysm repair : A 10-year retrospective study // Arch. Surg. 2009. Vol. 144, № 10. P. 900–903.Miller A., Marotta M., Scordi-Bello I., Tammaro Y., Marin M., Divino C. Ischemic colitis after endovascular aortoiliac aneurysm repair. A 10-year retrospective study // Arch Surg. 2009;144(10):900–903.Becquemin J. P., Majewski M., Fermani N. et al. Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair // J. Vasc. Surg. 2008. Vol. 47, № 2. P. 258–263.Becquemin J. P., Majewski M., Fermani N, et al. Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair // J Vasc Surg. 2008;47(2):258–263.Zander T., Baldi S., Rabellino M. et al. Bilateral hypogastric artery occlusion in endovascular repair of abdominal aortic aneurysms and its clinical significance // J. Vasc. Interv. Radiol. 2007. № 18. P. 1481–1486.Zander T., Baldi S., Rabellino M., Rostagno R., Isaza B., Llorens R., Carreira J. M., Maynar M. Bilateral hypogastric artery occlusion in endovascular repair of abdominal aortic aneurysms and its clinical significance // J Vasc Interv Radiol. 2007;(18):1481–1486.Simonte G., Parlani G., Farchioni L. et al. Lesson Learned with the Use of Iliac Branch Devices : Single Centre 10 Year Experience in 157 Consecutive Procedures // Eur. J. Vasc. Endovasc. Surg. 2017. № 54. P. 95–103.Simonte G., Parlani G., Farchioni L., Isernia G., Cieri E., Lenti M., Cao P., Verzini F. Lesson Learned with the Use of Iliac Branch Devices: Single Centre 10 Year Experience in 157 Consecutive Procedures // Eur J Vasc Endovasc Surg. 2017;(54):95–103.Verzini F., Parlani G., Varetto G.et al. Late outcomes of different hypogastric stent grafts in aortoiliac endografting with iliac branch device: Results from the pELVIS Registry // J. Vasc. Surg. 2019. P. 1–10.Verzini F., Parlani G., Varetto G., Gibello L., Boero M., Torsello G. F., Donas K. P., Simonte G. Late outcomes of different hypogastric stent grafts in aortoiliac endografting with iliac branch device: Results from the pELVIS Registry // J Vasc Surg. 2019:1–10.Igari K., Kudo T., Toyofuku T. et al. Comparison between endovascular repair and open surgery for isolated iliac artery aneurysms // Surg. Today. 2015. № 45. P. 290–296.Igari K., Kudo T., Toyofuku T., Jibiki M., Inoue Y. Comparison between endovascular repair and open surgery for isolated iliac artery aneurysms // Surg Today. 2015. № 45. P. 290–296.D’Oria M., Mendes B. C., Bews K. et al. Perioperative Outcomes After Use of Iliac Branch Devices Compared With Hypogastric Occlusion or Open Surgery for Elective Treatment of Aortoiliac Aneurysms in the NSQIP Database // Ann. Vasc. Surg. 2019. P. 1–10.D’Oria M., Mendes B. C., Bews K., Hanson K., Johnstone J., Shuja F., Kalra M., Bower T., Oderich G. S., DeMartino R. R. Perioperative Outcomes After Use of Iliac Branch Devices Compared With Hypogastric Occlusion or Open Surgery for Elective Treatment of Aortoiliac Aneurysms in the NSQIP Database // Ann Vasc Surg. 2019:1–10.Mendes B. C., Oderich G. S., Sandri G. A. et al. Comparison of Perioperative Outcomes of Patients with Iliac Aneurysms Treated by Open Surgery or Endovascular Repair with Iliac Branch Endoprosthesis // Ann. Vasc. Surg. 2019. № 60. P. 76–84.Mendes B. C., Oderich G. S., Sandri G. A., Johnstone J. K., Shuja F., Kalra M., Bower T. C., DeMartino R. R. Comparison of Perioperative Outcomes of Patients with Iliac Aneurysms Treated by Open Surgery or Endovascular Repair with Iliac Branch Endoprosthesis // Ann Vasc Surg. 2019;(60):76–84.Khorgami Z., Sclabas G. M., Aminian A. et al. Mortality in open abdominal aortic surgery in patients with morbid obesity // Surgery for Obesity and Related Diseases. 2019. № 15. P. 958–963.Khorgami Z., Sclabas G. M., Aminian A., Lau P. J., Chow G. S., Malgor R. D., Howard C. A., Taubman K. E. Mortality in open abdominal aortic surgery in patients with morbid obesity // Surgery for Obesity and Related Diseases. 2019;(15):958–963.Mell M., Tefera G., Schwarze M. et al. Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair // J. Endovasc. Ther. 2006. № 13. P. 415–419.Mell M., Tefera G., Schwarze M., Carr S., Acher C., Hoch J., Turnipseed W. Absence of Buttock Claudication Following Stent-Graft Coverage of the Hypogastric Artery Without Coil Embolization in Endovascular Aneurysm Repair // J Endovasc Ther. 2006;(13):415–419.Preliminary Embolization of the Hypogastric Artery to Expand the Applicability of Endovascular Aneurysm Repair / Z. Wu, D. Raithel, W. Ritter, L. Qu // J. Endovascular. Ther. 2011. № 18. P. 114–120.Wu Z., Raithel D., Ritter W., Qu L. Preliminary Embolization of the Hypogastric Artery to Expand the Applicability of Endovascular Aneurysm Repair // J Endovascular Ther. 2011;(18):114–120.Dueppers P., Duran M., Floros N. et al. The JOTEC iliac branch device for exclusion of hypogastric artery aneurysm – ABRAHAM study // J. Vasc. Surg. 2019. P. 1–8Dueppers P., Duran M., Floros N., Schelzig H., Wagenhäuser M. U., Oberhuber A. The JOTEC iliac branch device for exclusion of hypogastric artery aneurysm – ABRAHAM study // J Vasc Surg. 2019:1–8.Mylonas S. N., Rümenapf G., Schelzig H. et al. A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries // J. Vasc. Surg. 2016. P. 1–8.Mylonas S. N., Rümenapf G., Schelzig H., Heckenkamp J., Youssef M., Schäfer J. P., Ahmad W., Brunkwall J. S. A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries // J Vasc Surg. 2016:1–8.Giosdekos A., Antonopoulos C. N., Sfyroeras G. S. et al. The use of iliac branch devices for preservation of flow in internal iliac artery during endovascular aortic aneurysm repair // J. Vasc. Surg. 2019. P. 1–13.Giosdekos A., Antonopoulos C. N., Sfyroeras G. S., Moulakakis K. G., Tsilimparis N., Kakisis J. D., Lazaris A., Chatziioannou A., Geroulakos G. The use of iliac branch devices for preservation of flow in internal iliac artery during endovascular aortic aneurysm repair // J Vasc Surg. 2019:1–13.Lim C. S., Naji Y., Hussain S. T. et al. Modified Sandwich-graft Technique Employing Aorfix and Viabahn Stent-grafts to Preserve Hypogastric Flow in Cases of Complex Aortoiliac and Isolated Common Iliac Artery Aneurysms Including the Internal Iliac Artery Ostium // Eur. J. Vasc. Endovasc. Surg. 2015. P. 1–7.Lim C. S., Naji Y., Hussain S. T., Pleban E., Wiszniewski A., Onida S.., Mosquera Arochena N. J., Szopinski P. Modified Sandwich-graft Technique Employing Aorfix and Viabahn Stent-grafts to Preserve Hypogastric Flow in Cases of Complex Aortoiliac and Isolated Common Iliac Artery Aneurysms Including the Internal Iliac Artery Ostium // Eur J Vasc Endovasc Surg. 2015:1–7.Karch L. A., Hodgson K. J., Mattos M. A. et al. Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair // J. Vasc. Surg. 2001. № 33. P. 33–38.Karch L. A., Hodgson K. J., Mattos M. A.. et al. Management of ectatic, nonaneurysmal iliac arter- ies during endoluminal aortic aneurysm repair // J Vasc Surg 2001;(33):33–38.Mafeld S., Lakshminarayan R., Kim C. et al. Iliac Fenestration – An Alternative Endovascular Option for Common Iliac Aneurysms // Ann. Vasc. Surg. 2019. № 1. P. 1–6.Mafeld S., Lakshminarayan R., Kim C., Clarke M., Williams R. Iliac Fenestration – An Alternative Endovascular Option for Common Iliac Aneurysms // Ann Vasc Surg. 2019;(1.e1):1–6.Wooster M., Armstrong P., Back M. Hypogastric Preservation Using Retrograde Endovascular Bypass // Annals of Vascular Surgery. 2018. P. 1–17.Wooster M., Armstrong P., Back M. Hypogastric Preservation Using Retrograde Endovascular Bypass // Annals of Vascular Surgery. 2018:1–17.Early compilcations in endovascular treatment of abdominal aortic aneurysm / I. Gabrielli, A. Baudo, A. Molinari, M. Domanin // Acta chir. belg. 2004. № 104. P. 519–526.Gabrielli I., Baudo A., Molinari A., Domanin M. Early compilcations in endovascular treatment of abdominal aortic aneurysm // Acta chir belg. 2004;(104):519–526.Wanhainen A., Verzini F., Van Herzeele I. et al. European Society for Vascular Surgery (ESVS). 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms // Eur. J. Vasc. Endovasc. Surg. 2019. № 57. P. 8–93.Wanhainen A., Verzini F., Van Herzeele I., Allaire E., Bown M., Cohnert T., Dick F., van Herwaarden J., Karkos C., Koelemay M., Kölbel T., Loftus I., Mani K., Melissano G., Powell J., Szeberin Z. European Society for Vascular Surgery (ESVS). 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms // Eur J Vasc Endovasc Surg. 2019;(57):8–93.Jean-Baptiste E., Brizzi S., Bartoli M. A. et al. Pelvic ischemia and quality of life scores after interventional occlusion of the hypogastric artery in patients undergoing endovascular aortic aneurysm repair // J. Vasc. Surg. 2014. № 60. P. 40–49.Jean-Baptiste E., Brizzi S., Bartoli M. A.., Sadaghianloo N, Baqué J., Magnan P. E., Hassen-Khodja R. Pelvic ischemia and quality of life scores after interventional occlusion of the hypogastric artery in patients undergoing endovascular aortic aneurysm repair // J Vasc Surg. 2014;(60):40–49.Gray D., Shahverdyan R., Jakobs C. et al. Endovascular Aneurysm Repair of Aortoiliac Aneurysms with an Iliac Side-branched Stent graft : Studying the Morphological Applicability of the Cook Device // Eur. J. Vasc. Endovasc. Surg. 2015. № 49. P. 283–288.Gray D., Shahverdyan R., Jakobs C., Brunkwall J., Gawenda M. Endovascular Aneurysm Repair of Aortoiliac Aneurysms with an Iliac Sidebranched Stent graft: Studying the Morphological Applicability of the Cook Device // Eur J Vasc Endovasc Surg. 2015;(49):283–288.Абугов С. А., Саакян Ю. М., Пурецкий М. В. Эндопротезирование аневризмы подвздошной артерии с использованием бифуркационного подвздошного компонента // Эндоваскуляр. хир. 2019. Т. 6, № 2. С. 154–159.Abugov S. A., Saakyan Y. M., Puretskiy M. V., Polyakov R. S., Mardanyan G. V., Pirkova A. A., Turundaeva A. N., Kudrinskiy A. V., Vartanyan E. L., Kraynikov D. A. Endovascular aortoiliac repair using an iliac side branch endoprothesis // Russian Journal of endovascular surgery. 2019;6(2):154–159. (In Russ.).Имаев Т. Э., Кучин И. В., Лепилин П. М. и др. Использование подвздошного браншированного эндопротеза при эндоваскулярном лечении аневризмы брюшной аорты и обеих общих подвздошных артерий // Ангиология и сосуд. хир. 2016. Т. 22, № 4. С. 83–87.Imaev T. E., Kuchin I. V., Lepilin P. M., Kolegaev A. S., Medvedeva I. S., Komlev A. E., Akchurin R. S. Use of an iliac branched endoprothesis in endovascular treatment for an abdominal aortic aneurysm combined with aneurysms of both common iliac arteries // Angiology and Vascular Surgery. 2016;22(4):83–87. (In Russ.).

The authors declare that there are no conflicts of interest present.