Abstract

Objective: Endovascular surgery has established itself as an efficient option for the treatment of atherosclerotic occlusive disease of the iliac arteries. Nevertheless, the use of these procedures to treat other types of lesions has not been well studied yet. Our objective is to analyze indications and outcomes regarding the use of grafts in nonocclusive iliac lesions. Material and methods: We performed a retrospective review of 14 consecutive patients, all male, with mean age of 61.6 years (range, 25-80 years), submitted to endovascular treatment between 2001 and 2006 due to nonocclusive iliac lesions. Pre- and postoperative examination included computed tomography. The procedure was performed in the operating room using digital angiography. We used the femoral approach, with placement of tubular grafts. Results: In 11 patients, it was associated with embolization of the ipsilateral hypogastric artery. The following diseases were treated: eight atherosclerotic aneurysms, three dissections, two traumatic lesions, and one anastomotic pseudoaneurysm. The most frequent comorbidity was hypertension (43% of cases). There was no operative mortality. One patient presented a femoral pseudoaneurysm, which was treated with compression. Heart failure was resolved in a patient treated due to traumatic arteriovenous fistula at the iliac level, with asymptomatic persistence of minimum flow. Mean postoperative stay was 3 days. There were no early or late endoleaks. During a mean follow-up of 20.5 months (range, 1-49 months), one patient died of cancer and any patient needed complementary procedures. Conclusion: The endovascular treatment of iliac lesions using grafts is safe and allows a lasting result in the management of a wide spectrum of diseases. Copyright © 2006 by Sociedade Brasileira de Angiologia e de Cirurgia Vascular.