Korean J Vasc Endovasc Surg.  2011 Aug;27(3):120-124. 10.5758/kjves.2011.27.3.120.

Endovascular Treatment of an Internal Iliac Artery Aneurysm Using Amplatzer Vascular Plug: 2 Case Reports

• Hwang HP
• Yang JD
• Jeong JH
• Han YM
• Yu HC
• Cho BH

• KMID: 1448068
• DOI: http://doi.org/10.5758/kjves.2011.27.3.120

Abstract

To report endovascular occlusion of an internal iliac artery aneurysm (IIAA) of two patients using Amplatzer vascular plug (AVP; AGA Medical Corporation, USA). A 69-year-old asymptomatic man had aneurysms of both internal iliac arteries. The size of the right (Rt) IIAA was 23 mm and that of the left (Lt) IIAA was 45 mm. We decided to induce vascular occlusion of the Lt internal iliac artery (IIA). We deployed an AVP in the proximal and distal Lt IIA. The patient was discharged after four days and showed no recurrence of aneurysm for one year. A 78-year-old women had lower abdominal pain for three days. Computed tomography scan showed a 43 mm Rt common iliac artery (CIA) aneurysm and a 38 mm Rt IIAA. We decided to insert a stent graft in the Rt CIA and to occlude the Rt IIA using AVP. We deployed the stent graft in the Rt CIA and the AVP in the distal Rt IIA. The patient was discharged after seven days and demonstrated no recurrence of aneurysm for four months. AVP is a feasible vascular occlusive device for internal iliac artery aneurysm.

Keyword

Amplatzer vascular plug; Endovascular treatment; Internal iliac artery aneurysm

MeSH Terms

Abdominal Pain
Aged
Aneurysm
Female
Humans
Iliac Artery
Recurrence
Stents
Transplants