Objective:To summarize the experiences in surgical and endovascular treatment for isolated iliac artery aneurysm (IAA).
Methods:The clinical data of 8 patients with isolated IAA treated in our department from January 2007 to May 2010, that included 4 patients who underwent open surgical repair after aneurysm resection and 4 aged patients with several comorbidities who underwent endovascular stent-graft placement, were retrospectively analyzed.
Results:All the 8 cases were treated successfully but 1 case of endovascular repair developed retroperitoneal abscess after operation that was cured by surgical drainage and anti-infectious therapy; no complications occurred in the other 7 cases. Follow-up periods ranged from 3 months to 2 years. All the patients survived well without recurrence.
Conclusions:Both open surgical and endovascular repair are safe and effective for IAA, and the selection of proper treatment in clinical practice is based on the specific circumstances of the patients. For the aged patients, who usually have several concomitant diseases, endovascular repair should be taken as the first option.