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Doylestown Health offers advanced treatment for aneurysm

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Doylestown Health vascular surgeons were first in Delaware Valley to perform procedure with bilateral Iliac Branched Endoprosthesis

DOYLESTOWN Doylestown Health vascular surgeons are using advanced techniques and state-of-the-art technology to treat abdominal aortic aneurysms and other complex aortic problems.

Vascular surgeon Atul Rao, MD led a procedure that used an innovative Iliac Branched Endoprosthesis to treat two aneurysms and preserve blood flow to both iliac arteries in a 61-year-old male patient. Dr. Rao and Joshua Eisenberg, MD were the first in the Delaware Valley to perform repairs that simultaneously treated both common iliac aneurysms (left and right) in one setting using two branched grafts at Doylestown Hospital on December 15, 2016.

An iliac aneurysm is a bulging and weakening in the wall of the iliac artery, a pair of key arteries located in the pelvis. The iliac arteries branch from the aorta in the abdomen.

These two arteries deliver blood to the pelvis and then to the legs, connecting the aorta to the femoral arteries in each leg. Iliac aneurysms, like aortic aneurysms, carry the risk of rupture that can result in life-threatening, uncontrolled bleeding.

The vascular team at Doylestown Hospital uses minimally invasive endovascular techniques to treat most aortic aneurysms. Endovascular repair of aneurysms offer quicker recovery and less chance of infection compared to open surgery. The physician uses a catheter threaded through the femoral arteries in the groin to reach the arteries that carry blood from the aorta. The surgeon moves a polymer stent-graft up through the arteries until it is opened inside the diseased portion of aorta. The stent-graft reinforces the weakened part of the vessel and creates a new channel for the blood to flow, eliminating the risk of rupture.

In the case of the iliac aneurysm, Dr. Rao used the Iliac Branch Endoprosthesis (IBE) made by W.L. Gore & Associates, which was approved by the FDA in February 2016. The IBE device is used to treat iliac artery aneurysms and preserve blood flow in both branches of the iliac arteries (external and internal). More traditional endovascular therapies prior to the advent of the specialized IBE involved intentional coverage of one or both internal iliac arteries by the stent graft(s). By keeping blood flowing to these arteries, the IBE procedure helps avoid issues like insufficient blood flow to the gluteal muscles (resulting in pain with walking), insufficient blood flow to the colon, and even sexual dysfunction.

"Doylestown Health is committed to using the most advanced technology to offer our patients better outcomes and a quicker return to their everyday lives," said Dr. Rao. "The IBE procedure is a cutting-edge therapy that effectively treats the aneurysm while preserving quality of life for the patient."

About Vascular Surgery

Doylestown Health vascular surgeons offer advanced diagnosis and treatment of an array of vascular conditions. Vascular services include comprehensive diagnostic and therapeutic interventions for conditions of the arterial and venous systems. Doylestown Health’s highly experienced, fellowship-trained endovascular surgeons perform complex open surgeries and minimally-invasive endovascular treatments in Doylestown Hospital’s sophisticated hybrid operating room.

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