Endovascular Repair of an Internal Iliac Artery Aneurysm with Use of a Stented Graft and Embolization Coils

The isolated internal iliac artery aneurysm is rare, but can be fatal if non-diagnosed. Endovascular treatment of these aneurysms, ideally with exclusion of the sac from antegrade and retrograde perfusion, provides a minimally invasive alternative that avoids the direct operative morbidity.We present a case of a patient treated with embolization with coils of an aneurysm of the left internal iliac artery. Then, 6 months after the procedure, the patient suffered from recurrence of abdominal pain. CT scan confirmed patency of the aneurysmal sac. Therefore, he underwent second endovascular exclusion by an external iliac artery stentgraft by ipsilateral femoral access.In the angiography post-implantation, an endoleak was diagnosed. So, a second distal stentgraft was implanted in the external iliac artery. After implantation, a total exclusion of the aneurysm was obtained. The follow-up is now 3 months. The patient is asymptomatic.

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“…Cynamon et al [9] performed successful coil embolisation in combination with stenting to occlude an internal iliac artery aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Complications of Endovascular Management of Isolated Internal Iliac Artery Aneurysm

Hela¹,

Hassen²,

Hichem³

et al. 2017

J Clin Exp Cardiolog

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“…However this occlusion treatment looks to be risky due to the possibility of distal migration, distal thromboembolism or reopening of the aneurysm. As another option, embolization in combination with bare metal stenting to occlude the IIA aneurysm can be considered, but it should be performed in aneurysms with small orifices [ 4 , 5 ]. Especially, when the IIA aneurysm arises at its origin with a wide neck, exclusion of the aneurysm by placement of a stent-graft covering the CIA and EIA is considered as standard method of treatment.…”

Section: Discussionmentioning

confidence: 99%

Use of Reversed Iliac Leg Stent-Graft for the Treatment of Isolated Aneurysm of Internal Iliac Artery

Song

Lee

Nam

et al. 2014

VSI

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This is to report the technique of reversed iliac leg stent-graft in endovascular treatment for isolated internal iliac artery (IIA) aneurysm, which had significant size discrepancy between the common iliac artery (CIA) and external iliac artery (EIA) in 3 patients from different hospitals. Three patients were a 85- and two 82-year-old men. Treated were right IIA aneurysms, sized 6.5×6.2 cm, 5.0×4.0 cm, and 4.1 cm in longest diameter, respectively. The diameters of the right CIA and right EIA measured 21 mm/11 mm, 15 mm/11 mm, and 20 mm/10 mm, respectively. In all cases, reversed iliac leg stent-grafts were prepared on-site; unsheathed and mounted upside-down manually, and deployed in each right CIA. Post-stent-graft angiograms showed complete exclusion of the aneurysms, except for minimal type 1 endoleak in one case. This technique is a useful treatment option in patients with isolated IIA aneurysm.

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“…The use of stent grafts for applications other than aortoiliac disease is more limited but quite varied: stent grafts have been successfully used to treat popliteal artery bypass graft pseudoaneurysm [18], post-angioplasty pseudoaneurysm [19], and renal artery [20], internal iliac [21], carotid artery [15], and subclavian artery [22] aneurysms. In these reported cases the stent graft was used to provide a conduit for blood to flow through while isolating the aneurysm or the vessel supplying the aneurysm from the bloodstream.…”

Section: Discussionmentioning

confidence: 99%

Transluminal Treatment of a Celiac Artery Pseudoaneurysm with a Stent Graft Occlusion Device

Glickerman

Hathaway

Hatsukami

et al. 1997

Cardiovasc Intervent Radiol

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Endovascular Repair of an Internal Iliac Artery Aneurysm with Use of a Stented Graft and Embolization Coils

Cited by 42 publications

References 23 publications

Complications of Endovascular Management of Isolated Internal Iliac Artery Aneurysm

Complications of Endovascular Management of Isolated Internal Iliac Artery Aneurysm

Use of Reversed Iliac Leg Stent-Graft for the Treatment of Isolated Aneurysm of Internal Iliac Artery

Transluminal Treatment of a Celiac Artery Pseudoaneurysm with a Stent Graft Occlusion Device

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