Vasc Spec Int.  2014 Sep;30(3):87-90. 10.5758/vsi.2014.30.3.87.

Endovascular Treatment of Isolated Bilateral Common Iliac Artery Aneurysms Using Iliac Branched Stent Graft

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea. jtkim@inha.ac.kr
  • 2Department of Radiology, Inha University Hospital, Incheon, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Inha University Hospital, Incheon, Korea.

Abstract

Endovascular treatment of isolated bilateral common iliac artery aneurysm (CIAA) requires salvage of at least one internal iliac artery to prevent complications such as ischemic buttock claudication. We treated a case of bilateral CIAAs using an internal iliac branched stent graft. We report a case of a 58-year-old man who presented with bilateral CIAAs. The left internal iliac artery was occluded with coil embolization. The right internal iliac artery was saved by using a branched stent graft. The aneurysms were excluded with conventional endovascular aneurysm repair. Completion angiography showed technical success. Follow up computed tomography angiogram at three months showed complete exclusion of bilateral CIAAs, no endoleaks, and patent right internal iliac artery. There was no pelvic ischemic complication. We treated successfully a case of isolated bilateral CIAAs using an iliac branched stent graft.

Keyword

Iliac branched device; Aneurysm; Endovascular procedures

MeSH Terms

Aneurysm*
Angiography
Blood Vessel Prosthesis*
Buttocks
Embolization, Therapeutic
Endoleak
Endovascular Procedures
Follow-Up Studies
Humans
Iliac Artery*
Middle Aged
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