Simplifying the internal iliac artery aneurysm.
Simplifying the internal iliac artery aneurysm.
复制标题
简化髂内动脉瘤。
DOI：
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发表时间：
2001
影响因子：
1.4
通讯作者：
D. Scott
中科院分区：
文献类型：
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作者：
DJ Parry;D. Kessel;D. Scott
髂内动脉（腹下）孤立性动脉瘤是髂动脉瘤疾病的一种罕见变体，其发生率约为所有髂动脉瘤的0.04%。由于它们位于骨盆深处，它们可能出现较晚，而且通常很大。破裂的发生率很高，在最初表现时可能高达38%;此外，据报道，这会导致58%的死亡率。因此，孤立性髂内动脉瘤（IIAA）的早期和积极的管理是强制性的，以避免与破裂相关的高发病率和死亡率。本文包括关于IIAA的文献综述，并概述了这种最罕见和技术上最具挑战性的动脉瘤的当前手术和血管内管理选项。
Isolated aneurysms of the internal iliac (hypogastric) artery are a rare variant of aorto-iliac aneurysm disease, with an incidence at around 0.04% of all aorto-iliac aneurysms. Because of their location deep within the pelvis, they may present late and are often large. The incidence of rupture is high and may be up to 38% at initial presentation; furthermore, this has been reported to carry a 58% mortality rate. As such the early and aggressive management of isolated internal iliac artery aneurysms (IIAAs) is mandatory to avoid the high morbidity and mortality associated with rupture. This article includes a literature review regarding IIAAs and outlines the current surgical and endovascular management options for this most rare and technically challenging of aneurysms.