75954 Endovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and interpretation

Name of the Procedure:

Endovascular Repair of Iliac Artery Aneurysm, Pseudoaneurysm, Arteriovenous Malformation, or Trauma using Ilio-iliac Tube Endoprosthesis with Radiological Supervision and Interpretation

Summary

In layman's terms, this procedure involves repairing damaged or abnormal segments of the iliac artery using a specially designed tube (endoprosthesis). The procedure is done through the blood vessels, guided by imaging techniques to ensure precision.

Purpose

This procedure addresses conditions like aneurysms, pseudoaneurysms, arteriovenous malformations, or trauma of the iliac artery. The goal is to restore proper blood flow, prevent rupture or further damage, and improve the patient's overall vascular health.

Indications

• Symptoms of iliac artery issues such as pain, swelling, or numbness.
• Diagnosed aneurysms or pseudoaneurysms in the iliac artery.
• Arteriovenous malformations detected via imaging.
• Trauma to the iliac artery requiring repair.
• Patients who are suitable candidates for endovascular procedures based on their medical history and condition.

Preparation

• Patients may need to fast for several hours before the procedure.
• Medications might be adjusted, particularly blood thinners.
• Pre-procedure tests could include blood tests, imaging studies (CT, MRI), and a thorough physical examination.

Procedure Description

1. The patient is positioned appropriately, and local or general anesthesia is administered.
2. A small incision is made in the groin area to access the femoral artery.
3. A catheter is threaded through the femoral artery to the damaged section of the iliac artery.
4. Radiological imaging guides the placement of the ilio-iliac tube endoprosthesis.
5. The catheter is removed, and the incision is closed.
6. The radiologist interprets the images to ensure the endoprosthesis is correctly positioned.

Duration

The procedure typically takes 2-3 hours, depending on the complexity.

Setting

Performed in a hospital or specialized surgical center equipped with advanced imaging technology.

Personnel

• Interventional Radiologist or Vascular Surgeon
• Radiologic Technologist
• Nurses
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

Common risks:

• Infection at the incision site
• Bleeding or hematoma formation Rare risks:
• Blood vessel damage
• Endoprosthesis displacement
• Blood clots
• Allergic reactions to the contrast dye

Benefits

• Minimally invasive with faster recovery than open surgery
• Effective relief from symptoms related to iliac artery conditions
• Reduced risk of aneurysm rupture or progression of vascular malformations

Recovery

• Patients typically stay in the hospital for 24 hours for observation.
• Instructions include avoiding strenuous activities for several weeks.
• Follow-up appointments to monitor the endoprosthesis and overall vascular health.

Alternatives

• Open surgical repair
• Medical management with medications
• Alternative endovascular approaches Each alternative varies in terms of invasiveness, recovery time, and suitability based on patient-specific factors.

Patient Experience

During the procedure, the patient may feel pressure at the catheter insertion site but should not feel pain due to anesthesia. Post-procedure, mild discomfort and bruising at the incision site are common. Pain management includes prescribed medications and rest.