{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T11:14:18Z","timestamp":1768562058694,"version":"3.49.0"},"reference-count":25,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Access Publication Fund of the Foundation of the Institute of Health Sciences Studies of Castilla y Le\u00f3n","award":["PIP0277"],"award-info":[{"award-number":["PIP0277"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study examines the use of the E-liac stent-graft system for the endovascular treatment of aortoiliac or isolated common iliac aneurysms. Methods: Consecutive patients between January 2014 and December 2024 were included. Data on patient characteristics, clinical presentation, lesion features, procedural aspects, and follow-up outcomes were collected and examined. Complications during the perioperative period and subsequent reinterventions were also documented. Results: A total of 81 patients met the inclusion criteria (65 men, 80.2%, median age 71.2 \u00b1 11.43 (range 61\u201386 years). Technical success was achieved in all cases. A total of 97 internal iliac arteries were revascularized; in 54 cases (66.7%), the endovascular technique was EVAR + unilateral iliac branch device (IBD), in 16 cases (19.8%), it was EVAR + bilateral IBDs, and unilateral isolated IBD was conducted in 11 (13.6%) patients. The median patient follow-up time was 64.7 months (range 1\u2013120). During follow-up, the mortality rate was 22.2%, with an iliac branch patency of 90.1%. Buttock claudication was observed in five (6.2%) patients and nerve ischemia in one (1.2%). One type I endoleak (1.2%) occurred following endovascular treatment of an isolated common iliac artery aneurysm, and three type II endoleaks (3.7%) were observed; none of them were associated with aneurysm sac enlargement. Three type III endoleaks (3.7%) occurred due to disconnection of the iliac branch from the extension of the concomitant EVAR. Conclusions: This long-term study, with 11 years of follow-up, reports outcomes with the E-liac stent-graft for the treatment of aorto-iliac or iliac aneurysms and demonstrates that it can be safely applied with low mortality and reintervention rates, and high patency rates.<\/jats:p>","DOI":"10.3390\/jcm14228203","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T12:55:31Z","timestamp":1763556931000},"page":"8203","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Eleven Years of Experience in the Treatment of Aortoiliac Aneurysm with the E-Liac Stent-Graft System"],"prefix":"10.3390","volume":"14","author":[{"given":"Enrique M.","family":"San Norberto","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Valladolid University Hospital, Av. Ram\u00f3n y Cajal 3, 47005 Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Revilla","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Valladolid University Hospital, Av. Ram\u00f3n y Cajal 3, 47005 Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7699-9047","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Brizuela","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Valladolid University Hospital, Av. Ram\u00f3n y Cajal 3, 47005 Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"del Blanco","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Valladolid University Hospital, Av. Ram\u00f3n y Cajal 3, 47005 Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Fern\u00e1ndez-Bello","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Valladolid University Hospital, Av. Ram\u00f3n y Cajal 3, 47005 Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James H.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, Croydon University Hospital, London CR7 7YE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","article-title":"European Society for Vascular Surgery (ESVS) 2024 clinical practive guidelines on the management of abdominal aorto-iliac artery aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur. J. 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