Morphometric study of the iliac bifurcation and its application to iliac branch devices.
Introduction: Endovascular repair of aorto-iliac aneurysms by means of iliac branch devices allows both proper aneurysmal sealing and patency of the pelvic circulation. However, not all anatomies are suitable for this type of technology. This motivated the present study whose objective was to evalua...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy)
2020
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28501 |
| Aporte de: |
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I10-R321-article-28501 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-321 |
| container_title_str |
Revista Argentina de Anatomía Clínica |
| language |
Español |
| format |
Artículo revista |
| topic |
Aorta; Common iliac artery; Internal Iliac artery; Aneurysm; Anatomy. Aorta; Arteria ilíaca común; Arteria iliaca interna; Aneurisma; Anatomía. |
| spellingShingle |
Aorta; Common iliac artery; Internal Iliac artery; Aneurysm; Anatomy. Aorta; Arteria ilíaca común; Arteria iliaca interna; Aneurisma; Anatomía. Vázquez, Leticia Ignatov, María F. Kenny , Juan E. Russo, Alejandro M. Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| topic_facet |
Aorta; Common iliac artery; Internal Iliac artery; Aneurysm; Anatomy. Aorta; Arteria ilíaca común; Arteria iliaca interna; Aneurisma; Anatomía. |
| author |
Vázquez, Leticia Ignatov, María F. Kenny , Juan E. Russo, Alejandro M. |
| author_facet |
Vázquez, Leticia Ignatov, María F. Kenny , Juan E. Russo, Alejandro M. |
| author_sort |
Vázquez, Leticia |
| title |
Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| title_short |
Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| title_full |
Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| title_fullStr |
Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| title_full_unstemmed |
Morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| title_sort |
morphometric study of the iliac bifurcation and its application to iliac branch devices. |
| description |
Introduction: Endovascular repair of aorto-iliac aneurysms by means of iliac branch devices allows both proper aneurysmal sealing and patency of the pelvic circulation. However, not all anatomies are suitable for this type of technology. This motivated the present study whose objective was to evaluate the compatibility of the anatomy of the iliac vessels to the specifications of the manufacturers of these devices, in a cadaveric population. Materials and methods: 53 arterial iliac bifurcations were dissected from adult formalin-fixed cadavers. It was registered: gender, side (right or left), length of the common iliac artery (L1), hypogastric arterial length (L2), and caliber of the common iliac artery (C1), iliac bifurcation (C2), hypogastric artery (C3) and external iliac artery (C4). These results were compared with the specifications of 3 manufacturers of iliac branch devices commonly used in our region. Results: The average values obtained were: L1: 54,52 mm; L2: 40,59 mm; C1: 11,73 mm; C2: 15,34 mm; C3: 7,28 mm; C4: 8,36 mm. From the total cases studied, only 5 cases (9.43%) met the requirements of the first manufacturer, the remaining 48 cases (90,57%) did not. Eight (15,09%) cases met the criteria of the second manufacturer while 45 specimens (84,91%) did not. Eighteen cases (33,96%) met the requirements of the third manufacturer while the remaining 35 cases (66,04%) did not. Conclusions: Since not every case was suitable for iliac branch device, the surgeon must be aware of this and other type of devices for proper aortic-iliac aneurysmal distal sealing. It is crucial to determine the morphometry of each case in order to evaluate its suitability for iliac branch device use. |
| publisher |
Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28501 |
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I10-R321-article-285012020-11-18T02:03:15Z Morphometric study of the iliac bifurcation and its application to iliac branch devices. ESTUDIO MORFOMÉTRICO DE LA BIFURCACIÓN ILÍACA Y SUS IMPLICANCIAS AL USO DE DISPOSITIVOS CON RAMA ILÍACA Vázquez, Leticia Ignatov, María F. Kenny , Juan E. Russo, Alejandro M. Aorta; Common iliac artery; Internal Iliac artery; Aneurysm; Anatomy. Aorta; Arteria ilíaca común; Arteria iliaca interna; Aneurisma; Anatomía. Introduction: Endovascular repair of aorto-iliac aneurysms by means of iliac branch devices allows both proper aneurysmal sealing and patency of the pelvic circulation. However, not all anatomies are suitable for this type of technology. This motivated the present study whose objective was to evaluate the compatibility of the anatomy of the iliac vessels to the specifications of the manufacturers of these devices, in a cadaveric population. Materials and methods: 53 arterial iliac bifurcations were dissected from adult formalin-fixed cadavers. It was registered: gender, side (right or left), length of the common iliac artery (L1), hypogastric arterial length (L2), and caliber of the common iliac artery (C1), iliac bifurcation (C2), hypogastric artery (C3) and external iliac artery (C4). These results were compared with the specifications of 3 manufacturers of iliac branch devices commonly used in our region. Results: The average values obtained were: L1: 54,52 mm; L2: 40,59 mm; C1: 11,73 mm; C2: 15,34 mm; C3: 7,28 mm; C4: 8,36 mm. From the total cases studied, only 5 cases (9.43%) met the requirements of the first manufacturer, the remaining 48 cases (90,57%) did not. Eight (15,09%) cases met the criteria of the second manufacturer while 45 specimens (84,91%) did not. Eighteen cases (33,96%) met the requirements of the third manufacturer while the remaining 35 cases (66,04%) did not. Conclusions: Since not every case was suitable for iliac branch device, the surgeon must be aware of this and other type of devices for proper aortic-iliac aneurysmal distal sealing. It is crucial to determine the morphometry of each case in order to evaluate its suitability for iliac branch device use. Introducción: La reparación endovascular de los aneurismas aorto-ilíacos con dispositivos de rama ilíaca permiten excluir el aneurisma de forma eficaz, así como mantener la circulación de la pelvis. Sin embargo, no todas las anatomías son aptas para esta tecnología. Esto motivó el siguiente estudio, cuyo objetivo es evaluar la compatibilidad de la anatomía de los vasos ilíacos con respecto a los valores preestablecidos de estos dispositivos, en una población cadavérica. Materiales y métodos: Se disecaron 53 bifurcaciones ilíacas arteriales, de cadáveres adultos formolados. Se registró: sexo, lado (derecho o izquierdo), longitud de la arteria ilíaca común (L1), longitud de la arteria iliaca interna (L2), y calibres de la arteria ilíaca común (C1), de la bifurcación ilíaca (C2), de la arteria iliaca interna (C3) y externa (C4). Las variables cuantitativas fueron comparadas con los requerimientos de 3 casas comerciales que fabrican estos dispositivos. Resultados: Los valores promedio obtenidos fueron de: L1: 54,52 mm; L2: 40,59 mm; C1: 11,73 mm; C2: 15,34 mm; C3: 7,28 mm; C4: 8,36 mm. Del total de casos estudiados, 5 casos (9.43%) cumplieron con los requisitos de la primera casa comercial, los restantes 48 (90,57%) no lo hicieron. Ocho casos (15,09%) cumplieron con los de la segunda casa, 45 (84,91%) no lo hicieron. Finalmente, 18 casos (33,96%) cumplieron con los requisitos de la tercer casa comercial, mientras que los restantes 35 casos (66,04%) no lo hicieron. Conclusiones: El cirujano debe estar al tanto de esta y otras técnicas de sello distal de aneurismas aorto-ilíacos, ya que no todas las bifurcaciones iliacas cumplen los requisitos de las casas comerciales. Es fundamental determinar la morfometría de cada caso para ver su compatibilidad con los dispositivos. Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) 2020-07-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28501 10.31051/1852.8023.v12.n2.28501 Revista Argentina de Anatomía Clínica (Argentine Journal of Clinical Anatomy); Vol. 12 No. 2 (2020): Jul 2020; 60-66 Revista Argentina de Anatomía Clínica; Vol. 12 Núm. 2 (2020): Jul 2020; 60-66 1852-8023 10.31051/1852.8023.v12.n2 spa https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28501/30241 Derechos de autor 2020 Leticia Vázquez, María Florencia Ignatov, Juan Enrique Kenny , Alejandro Marcel Russo http://creativecommons.org/licenses/by-nc/4.0 |