Advertisement

Verschlusserkrankungen des aortoiliakalen Gefäßabschnitts

  • Ralph-Ingo RückertEmail author
  • Thomas Umscheid
  • Jörg Teßarek
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Im aortoiliakalen arteriellen Gefäßabschnitt sind einerseits Stenose- und Verschlussprozesse und andererseits Aneurysmen die häufigsten Krankheitsbilder und daher in diesem Segment am meisten klinisch relevant. Neben der Arteriosklerose als Hauptursache einer Wanddegeneration, in deren Folge sowohl Verengungen als auch Erweiterungen der aortoiliakalen Strombahn auftreten können, müssen weitere, jedoch im Vergleich dazu seltene Erkrankungen mit einer möglichen Manifestation im aortoiliakalen Segment genannt werden. Hierzu zählen die meist iatrogen entstandene Dissektion, entzündliche Arterienenerkrankungen wie die Takayasu-Arteriitis mit aortoiliakaler Manifestation, traumatische Läsionen, die Fibrose der Beckenarterien und als Rarität die zystische Adventitiadegeneration. Die Aneurysmen und Stenosen der Aorta abdominalis sind Gegenstand anderer Kapitel. Im Folgenden sollen daher vorrangig die arterielle Verschlusskrankheit und Aneurysmen der Beckenarterien mit oder ohne Beteiligung der Aorta hinsichtlich Klinik, Diagnostik und konventioneller gefäßchirurgischer Therapiemethoden behandelt werden.

Literatur

Klinik und konventionelle Therapie

  1. Ali AT, Modrall JG, Hocking J, Valentine RJ, Spencer H, Eidt JF, Clagett JP (2009) Long-term results of the treatment of aortic graft infection by in situ replacement with femoral popliteal vein grafts. J Vasc Surg 50:30–39PubMedCrossRefPubMedCentralGoogle Scholar
  2. Brewster DC (1991) Clinical and anatomic considerations for surgery in aortoiliac disease and results of surgical treatment. Circulation 83(2 Suppl):I42–I52PubMedPubMedCentralGoogle Scholar
  3. Brewster DC, Darling RC (1978) Optimal methods for aortoiliac reconstruction. Surgery 84:739–748PubMedPubMedCentralGoogle Scholar
  4. Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE (1989) Solitary aneurysma of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg 10:381–384PubMedCrossRefGoogle Scholar
  5. Chiu KWH, Davies RSM, Nightingale PG, Bradbury AW, Adam DJ (2010) Review of direct anatomical open surgical management of atherosclerotic aorto-iliac occlusive disease. Eur J Vasc Endovasc Surg 39:460–471PubMedCrossRefPubMedCentralGoogle Scholar
  6. Criado E, Johnston G Jr, Burnham SJ, Buehrer J, Keagy BA (1992) Descending thoracic aorta-to-iliofemoral artery bypass as an alternative to aortoiliac reconstruction. J Vasc Surg 15:550–557PubMedCrossRefPubMedCentralGoogle Scholar
  7. DeLaurentis DA, Friedman P, Wolferth CC Jr, Wilson A, Naide D (1978) Atherosclerosis and the hypoplastic aortoiliac system. Surgery 83:27–37PubMedPubMedCentralGoogle Scholar
  8. Di Centa I, Coggia M, Javerliat I, Goeau-Brissonnière O (2006) Total videoscopic iliac artery aneurysm repair. Ann Vasc Surg 20:250–252PubMedCrossRefPubMedCentralGoogle Scholar
  9. Di Centa I, Coggia M, Cerceau P, Javerliat I, Alfonsi P, Beauchet A, Goeau-Brissonnière O (2008) Total laparoscopic aortobifemoral bypass: short- and middle-term results. Ann Vasc Surg 22:227–232PubMedCrossRefPubMedCentralGoogle Scholar
  10. Dion YM, Griselli F, Douville Y, Langis P (2004) Early and mid-term results of totally laparoscopic surgery for aortoiliac disease: lessons learned. Surg Laparosc Endosc Percutan Tech 14:328–334PubMedCrossRefPubMedCentralGoogle Scholar
  11. Donas KP, Torsello G, Pitouilias GA, Austermann M, Papadimitriou DK (2011) Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation. J Vasc Surg. [Epub vor Druck]Google Scholar
  12. Dos Santos JD (1947) Sur la desobstruction des thromboses arterielles anciennes. Mem Acad Chir 73:409–411Google Scholar
  13. Gussmann A, Kühn J, Weise U, Volkmann T (2008) Ist die retrograde Ringdesobliteration der Beckenetage unter Angiographiekontrolle Methode der ersten Wahl? In: Hepp W, Gussmann A, Rückert RI (Hrsg) Läsionen der Becken- und Oberschenkelarterien. Steinkopff, Darmstadt, S 11–26CrossRefGoogle Scholar
  14. Karmody AM, Powers SR, Monaco VJ, Leather RP (1976) „Blue toe“ syndrome. An indication for limb salvage surgery. Arch Surg 111:1263–1268PubMedCrossRefGoogle Scholar
  15. Krupski WC, Selzman CH, Floridia R, Strecker PK, Nehler MR, Whitehill TA (1998) Contemporary management of isolated iliac aneurysms. J Vasc Surg 28:1–11PubMedCrossRefGoogle Scholar
  16. Leriche R (1940) De la resection du carrefour aortoiliaque avec double sympathectomie lombaire pour thrombose arterielle de l’aorte: Le syndrome de’l obliteration termino-aortique par arterite. Presse Med 48:601–607Google Scholar
  17. McCready RA, Pairolero PC, Gilmore JC, Kazmier FJ, Cherry KJ, Hollier LH (1983) Isolated iliac artery aneurysms. Surgery 93:688–693PubMedPubMedCentralGoogle Scholar
  18. Milite D, Campanile F, Tosato F, Pilon F, Zaramella M (2010) Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure. Interact Cardiovasc Thorac Surg 10:749–752PubMedCrossRefPubMedCentralGoogle Scholar
  19. Minz M, Sharma A, Kumar S, Singh S, Shivaprakash MR, Bag S (2011) Use of autogenous internal iliac artery for bridging the external iliac artery after excision of Aspergillus mycotic aneurysm in renal transplant recipients. J Vasc Surg 53:802–804PubMedCrossRefPubMedCentralGoogle Scholar
  20. Norgren L, Hiatt WR, Ja D, Nehler MR, Harris KA, Fowkes FG, TASC II Working Group (2007) Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg 33(Suppl 1):1–75CrossRefGoogle Scholar
  21. Novotný T, Dvorák M, Staffa R (2011) The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. J Vasc Surg 53:414–420PubMedCrossRefPubMedCentralGoogle Scholar
  22. Parsons RE, Marin ML, Veith FJ, Sanchez LA, Lyòn RT, Suggs WD, Faries PL, Schwartz ML (1996) Fluoroscopically assisted thromboembolectomy: an improved method for treating acute arterial occlusions. Ann Vasc Surg 10:201–210PubMedCrossRefPubMedCentralGoogle Scholar
  23. Rimpler H, Hinrichs A, Wilaschek M (2008) Endofibrose der A. iliaca externa bei Radfahrern. In: Hepp W, Gussmann A, Rückert RI (Hrsg) Läsionen der Becken- und Oberschenkelarterien. Steinkopff, Darmstadt, S 85–91CrossRefGoogle Scholar
  24. Rückert RI, Hedrich T, im Spring BM, Yousefi S, Alevizakos P, Hanack U (2008) Dissezierendes Aneurysma der A. iliaca communis. In: Hepp W, Gussmann A, Rückert RI (Hrsg) Läsionen der Becken- und Oberschenkelarterien. Steinkopff, Darmstadt, S 67–73CrossRefGoogle Scholar
  25. Rutherford RB (1993) Atlas of vascular surgery. Basic techniques and exposures. Saunders, Philadelphia/London/Toronto/Montrael/Sydney/Tokyo, S 178–186Google Scholar
  26. Schröder A, Mückner K, Riepe G, Siemens P, Gross-Fengels W, Imig H (1998) Semiclosed iliac recanalisation by an inguinal approach – modified surgical techniques integrating interventional procedures. Eur J Vasc Endovasc Surg 1:501–508CrossRefGoogle Scholar
  27. Smeets L, de Bost GJ, de Vries JP, van den Berg JC, Ho GH, Moll FL (2003) Remote iliac artery endarterectomy: seven-year results of a less invasive technique for iliac artery occlusive disease. J Vasc Surg 38:1297–1304PubMedCrossRefPubMedCentralGoogle Scholar
  28. Wylie EJ (1952) Thromboendarterecomy for arteriosclerotic thrombosis of major arteries. Surgery 23:275–279Google Scholar

Endovaskuläre Therapie

  1. Ahmed MH, Nanjundappa A, Laird JR (2005) Complications after iliac artery interventions. Endovasc Today 5:55–57Google Scholar
  2. Ballard JL, Sparks SR, Taylor FC et al (1996) Complications of iliac artery stent deployment. J Vasc Surg 24:545–555PubMedCrossRefPubMedCentralGoogle Scholar
  3. Bosch JL, Huink MG (1997) Metaanalysis of the results of percutaneous transluminal angioplasty and stentplacement for aortoiliac occlusive disease. Radiology 204(1):87–96PubMedCrossRefGoogle Scholar
  4. Brunkwall J, Hauksson H, Bengtson H et al (1989) Solitary aneurysms of the iliac arterial system: an estimate of their frequency for occurrence. J Vasc Surg 10:381PubMedCrossRefGoogle Scholar
  5. Chang RW, Goodney PP, Back JH, Nolan BW, Rzucidlo EM, Powell RJ (2008) Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease. J Vasc Surg 48:362–367PubMedCrossRefGoogle Scholar
  6. Donas KP, Schwindt A, Pitoulias GA, Schönefeld T, Basner C, Torsello G (2009) Endovascular treatment of internal iliac artery obstructive disease. J Vasc Surg 49(6):1447–1451PubMedCrossRefPubMedCentralGoogle Scholar
  7. Goldsweig AM, Faheem O, Cleman MW, Forrest JK (2015) A balloon-expandable sheath facilitates transfemoral TAVR in patients with peripheral vascular disease and tortuosity. Ther Adv Cardiovasc Dis 9(3):95–102PubMedCrossRefPubMedCentralGoogle Scholar
  8. Grimme FA, Goverde PA, Van Oostayen JA, Zeebregts CJ, Reijnen MM (2012) Covered stents for aortoiliac reconstruction of chronic occlusive lesions. J Cardiovasc Surg (Torino) 53(3):279–289Google Scholar
  9. Haulon S, Mounier-Vehier C, Gaxotte V et al (2002) Percutaneous reconstruction of the aortoiliac bifurcation with the „kissing stents“ technique: long-term follow-up in 106 patients. J Endovasc Ther 9:363–368PubMedCrossRefPubMedCentralGoogle Scholar
  10. Humphries MD, Armstrong E, Laird J, Paz J, Pevec W (2014) Outcomes of covered versus bare-metal balloon-expandable stents for aortoiliac occlusive disease. J Vasc Surg 60(2):337–343PubMedCrossRefPubMedCentralGoogle Scholar
  11. Kudo T, Chandra FA, Ahn SS (2005) Long-term outcomes and predictors of iliac angioplasty with selective stenting. J Vasc Surg 42:466–475PubMedCrossRefGoogle Scholar
  12. Leu AJ, Schneider E, Conova CR et al (1999) Longterm results after recanalisation of chronic iliac artery occlusions by combined catheter therapy without stent placement. Eur J Vasc Endovasc Surg 18:499–505PubMedCrossRefGoogle Scholar
  13. Murphy TP, Ariaratnam NS, Carney WI, Maracaccio EJ, Slaiby JM, Soares GM et al (2004) Aortoiliac insufficiency: longterm experience with stent placement for treatment. Radiology 231(1):243–249PubMedCrossRefGoogle Scholar
  14. Mwipatayi BP, Thomas S, Wong J, Temple SE, Vijayan V, Jackson M, Burrows SA (2011) Covered versus balloon expandable stent trial (COBEST) co-investigators a comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease. J Vasc Surg 54(6):1561–1570PubMedCrossRefGoogle Scholar
  15. Norgren L, Hiatt WR, Ja D, Nehler MR, Harris KA, Fowkes FG, TASC II Working Group (2007) Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg 33(Suppl 1):1–75Google Scholar
  16. Ponec D, Jaff MR, Swischuk J, Feiring A, Laird J, Mehra M (2004) The nitinol SMART stent vs wallstent for suboptimal iliac artery angioplasty: CRISP-US trial results. J Vasc Interv Radiol 15(9):911–918PubMedCrossRefPubMedCentralGoogle Scholar
  17. Powell RJ, Fillinger M, Bettmann M, Jeffery R, Langdon D, Walsh DB, Zwolak R, Hines M, Cronenwett JL (2000) The durability of endovascular treatment of multisegment iliac occlusive disease. J Vasc Surg 31:1178–1184PubMedCrossRefPubMedCentralGoogle Scholar
  18. Rutherford R, Durham J (1992) Percutaneous balloon angioplasty for arteriosclerosis obliterans: long term results. In: Yao J, Pearce W (Hrsg) Techniques in vascular surgery. Saunders, Philadelphia, S 329–345Google Scholar
  19. Tetterroo E, van der Graaf Y, Bosch JL et al (1998) Randomized comparison of primary stent placement versus primary angioplasty followed by selective stent placement in in patients with iliac artery occlusive disease: Dutch Iliac Stent Trial Study Group. Lancet 351:1153–1159CrossRefGoogle Scholar
  20. Thompson K, Cook P, Dilley R, Saeed M, Knowles H, Terramani T, Kansal N (2010) Internal iliac artery angioplasty and stenting: an underutilized therapy. Ann Vasc Surg 24(1):23–27PubMedCrossRefPubMedCentralGoogle Scholar
  21. Timaran CH, Stevens SL, Freeman MB, Goldman MH (2001) External iliac and common iliac artery angioplasty and stenting in men and women. J Vasc Surg 34(3):440–446PubMedCrossRefPubMedCentralGoogle Scholar
  22. Timaran CH, Prault TR, Steven SL, Freeman MB, Goldmann MH (2003) Iliac artery stenting versus surgical recobsrtuction for TASC Type B and C iliac lesions. J Vasc Surg 38:272–278PubMedCrossRefPubMedCentralGoogle Scholar
  23. Verrel F, Steckmeier B, Ruppert V (2006) Intraoperative Kombinationsverfahren bei pAVK vom Beckentyp. Indikationen, Technik, Langzeitergebnisse. Gefässchirurgie 11:94–99CrossRefGoogle Scholar
  24. Wilson SE, Wolf GL, Cross AP (1989) Percutaneous transluminal angioplasty versus open operation for periphereal ateriosclerosis: report of a prospective randomized trail in a selected group of patients. J Vasc Surg 9:1–9PubMedCrossRefPubMedCentralGoogle Scholar

Weiterführende Literatur

  1. Allenberg JR, Kallinowski F, Schumacher H (1997) Stand der Chirurgie des infrarenalen Aortenaneurysmas. Deutsches Ärzteblatt 94:2298–2302Google Scholar
  2. Becker GJ, Katzen BT, Dake MD (1989) Noncoronary angioplasty. Radiology 170:921–940PubMedCrossRefPubMedCentralGoogle Scholar
  3. Bekdache K, Dietzek AM, Cha A, Neychev V (2015) Endovascular hypogastric artery preservation during endovascular aneurysm repair: a review of current techniques and devices. Ann Vasc Surg 29(2):367–376PubMedCrossRefGoogle Scholar
  4. Beard JD (2008) Which is the best revascularization for critical limb ischemia: endovascular or open surgery? J Vasc Surg 48(6 Suppl):11S–16SPubMedCrossRefGoogle Scholar
  5. Bolin T, Lund K, Skau T (1988) Isolated aneurysms of the iliac artery: what are the chances of rupture? Eur J Vasc Surg 2:213–215PubMedCrossRefPubMedCentralGoogle Scholar
  6. Brewster DC (1997) Current controversies in the management of aortoiliac occlusive disease. J Vasc Surg 25:365–379PubMedCrossRefPubMedCentralGoogle Scholar
  7. Brin BJ, Busuttil RW (1982) Isolated hypogastric artery aneurysms. Arch Surg 117:1329–1333PubMedCrossRefPubMedCentralGoogle Scholar
  8. Chiesa R, Marone EM, Tshomba Y, Logaldo D, Castellano R, Melissano G (2009) Aortobifemoral bypass grafting using expanded polytetrafluoroethylene stretch grafts in patients with occlusive atherosclerotic disease. Ann Vasc Surg 23:764–769PubMedCrossRefPubMedCentralGoogle Scholar
  9. Deb B, Benjamin M, Comerota AJ (1992) Delayed rupture of an internal iliac artery aneurysm following proximal ligation for abdominal aortic aneurysm repair. Ann Vasc Surg 6:537–540PubMedCrossRefPubMedCentralGoogle Scholar
  10. DeBakey ME, Lawrie GM, Glaeser DH (1985) Patterns of atherosclerosis and their surgical significance. Ann Surg 201:115–131PubMedPubMedCentralCrossRefGoogle Scholar
  11. Emrecan B, Onem G, Ozak E, Arslan M, Yagci B, Baltalarli A, Akdag B (2010) Retroperitoneal approach via pramedian incision for aortoiliac occlusive disease. Tex Heart Inst J 37:70–74PubMedPubMedCentralGoogle Scholar
  12. Hertzer NR, Bena JF, Karafa MT (2007) A personal experience with direct reconstruction and extra-anatomic bypass for aortoiliofemoral occlusive disease. J Vasc Surg 45:527–535PubMedCrossRefGoogle Scholar
  13. Huang Y, Gloviczki P, Malra M, Oderich GS, McKusick MA, Bower TC (2008) Common iliac artery aneurysm: expansion rate and results of open surgical and endovascular repair. J Vasc Surg 47:1203–1210PubMedCrossRefGoogle Scholar
  14. Karch LA, Hodgson KJ, Mattos MA, Bohannon WT, Ramsey DE, McLafferty RB (2000) Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg 32:676–683PubMedCrossRefPubMedCentralGoogle Scholar
  15. Kashyap VS, Pavkov ML, Bena JF, Sarac TP, O’Hara PJ, Lyden SP, Clair DG (2008) The management of severe aortoiliac occlusive disease: endovscular therapy rivals open reconstruction. J Vasc Surg 48(1451–1457):1457e1–1457e3Google Scholar
  16. Katsargyris A, Oikonomou K, Klonaris C, Bal A, Yanar F, Verhoeven EL (2015) Common iliac and hypogastric aneurysms: open and endovascular repair. J Cardiovasc Surg (Torino) 56(2):249–255Google Scholar
  17. Kritpracha B, Pigott JP, Price CI, Russell TE, Corbey MJ, Beebe HG (2003) Distal internal iliac artery embolization: a procedure to avoid. J Vasc Surg 37:943–948PubMedCrossRefGoogle Scholar
  18. Lawrence PF, Lorenzo-Rivero S, Lyon JL (1995) The incidence of iliac, femoral, and popliteal artery aneurysms in hospitalized patients. J Vasc Surg 22:409–415PubMedCrossRefGoogle Scholar
  19. Martin KW, Hyde GL, McCready RA, Hull DA (1986) Sciatic artery aneurysms: report of three cases and review of the literature. J Vasc Surg 4:365–371PubMedCrossRefGoogle Scholar
  20. Mallios A, Cross J, Cochennec F, Majewski M, Kobeiter H, Desgranges P (2013) From the „bell-bottom“ to a migrated „running stent“ and then a successful conversion to hypogastric branched endograft. Ann Vasc Surg 27(5):671PubMedCrossRefGoogle Scholar
  21. Mell M, Tefera G, Schwarze M, Carr S, Archer C, Hoch J, Turnipseed W (2006) Absence of buttock claudication following stent-graft coverage of hypogastric artery without coil embolization in endovascular aneurysm repair. J Endovasc Ther 13:415–419PubMedCrossRefGoogle Scholar
  22. Olson PS, Schroeder T, Agerskov K et al (1991) Surgery for abdominal aortic aneurysms: a survey of 656 patients. J Cardiovasc Surg (Torino) 32(5):636Google Scholar
  23. Rayt HS, Bown MJ, Lambert KV, Fishwick NG, McCarthy MJ, London NJ, Sayers RD (2008) Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair. Cardiovasc Intervent Radiol 31:728–734PubMedCrossRefPubMedCentralGoogle Scholar
  24. Reed A, Conte M, Donaldson M, Mannick J, Whittemore A, Belkin M (2003) The impact of patient age and aortic size on the results of aortobifemoral bypass grafting. J Vasc Surg 37:1219–1225PubMedCrossRefPubMedCentralGoogle Scholar
  25. Richardson JW, Greenfield LJ (1988) Natural history and management of iliac artery aneurysms. J Vasc Surg 8:165–171PubMedCrossRefPubMedCentralGoogle Scholar
  26. Santilli SM, Wernsing SE, Lee ES (2000) Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg 31:114–121PubMedCrossRefPubMedCentralGoogle Scholar
  27. Torsello G, Schönefeld E, Osada N, Austermann M, Pennekamp C, Donas KP (2010) Endovascular treatment of common iliac artery aneurysms using the bell-bottom technique: long-term results. J Endovasc Ther 17(4):504–509PubMedCrossRefPubMedCentralGoogle Scholar
  28. Verzini F, Parlani G, Romano L, De Rango P, Panuccio G, Cao P (2009) Endovascular treatment of iliac aneurysm: concurrent comparison of sidebranch endograft versus hypogastric exclusion. J Vasc Surg 49:1154–1161PubMedCrossRefPubMedCentralGoogle Scholar
  29. West CA Jr, Johnson LW, Doucet L, Caldito G, Heldman M, Szarvas T, Speirs RD, Carson S (2010) A contemporary experience of open aortic reconstruction in patients with chronic atherosclerotic occlusion of the abdominal aorta. J Vasc Surg 52:1164–1172PubMedCrossRefPubMedCentralGoogle Scholar
  30. Ziegler P, Avgerinos ED, Umscheid T, Perdikides T, Erz K, Stelter WJ (2007) Branched iliac bifurcation: 6 years experience with endovas-cular preservation of internal iliac artery flow. J Vasc Surg 46(2):204–210PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Ralph-Ingo Rückert
    • 1
    Email author
  • Thomas Umscheid
    • 2
  • Jörg Teßarek
    • 3
  1. 1.Klinik für Gefäß- und endovaskuläre ChirurgieEv. Krankenhaus Königin Elisabeth HerzbergeBerlinDeutschland
  2. 2.GefäßmedizinHelios Klinik Bad SchwalbachBad SchwalbachDeutschland
  3. 3.Abteilung für GefäßchirurgieBonifatius-Hospital gGmbH, LingenLingenDeutschland

Section editors and affiliations

  • Eike Sebastian Debus
    • 1
  1. 1.Klinik und Poliklinik für GefäßmedizinUniversitäres Herz- und Gefäßzentrum Hamburg, Universitätsklinikum Hamburg-EppendorfHamburgDeutschland

Personalised recommendations