Vasc Spec Int.  2019 Jun;35(2):101-104. 10.5758/vsi.2019.35.2.101.

Stent Graft Implantation and Superselective Embolization with Liquid Embolic Agent, Onyx for Iatrogenic Common Iliac Artery Pseudoaneurysm and Persistant Endoleak

• Kim W
• Choi J

• KMID: 2455140
• DOI: http://doi.org/10.5758/vsi.2019.35.2.101

Abstract

A 68-year-old male patient with a history of femoro-femoral bypass following unsuccessful intervention for chronic total iliac occlusion was found to have a saccular pseudoaneurysm of the right common iliac artery (CIA) due to interventional device-related injuries associated with the past endovascular intervention. An iatrogenic pseudoaneurysm in the CIA is generally asymptomatic, but it has a high risk of rupture, regardless of its size or symptoms. Endovascular therapy may be the best treatment option; however, ineffective sealing with a stent graft may lead to a type I endoleak. Under such conditions, use of the liquid embolic agent, Onyx, as a bailout solution for the type 1 endoleak is promising.

Keyword

Iliac artery; Aneurysm; Endoleak; Iatrogenic injury; Embolization

MeSH Terms

Aged
Aneurysm
Aneurysm, False*
Blood Vessel Prosthesis*
Endoleak*
Humans
Iliac Artery*
Male
Rupture
Stents*