Perigraft Plug Embolization of the Internal Iliac Artery and Implantation of a Bifurcated Stentgraft: One Treatment Option for Insufficient Tubular Stentgraft Repair of a Common Iliac Artery Aneurysm

Common iliac artery (CIA) aneurysms present across a spectrum of anatomic variants that can pose unique operative challenges. A wide variety of procedural approaches have been described in the literature with current therapeutic options including both open and endovascular repair. These techniques may involve either ligation or embolization of the internal iliac artery (IIA) with reliance on collateralized blood flow to the pelvis to mitigate postoperative complications. However, preservation of the IIA is often preferred. This case report describes a hybrid surgical approach for treating CIA aneurysms while preserving IIA perfusion. Our technique mitigates the risks of hypogastric artery dissection (including hypogastric vein injury) in the presence of a large CIA aneurysm.

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Common Iliac Artery Aneurysm Repair Using a Sac-Anchoring Endograft to Preserve the Internal Iliac Artery

Journal of Endovascular Therapy ◽

10.1177/1526602815610117 ◽

2015 ◽

Vol 22 (6) ◽

pp. 886-888 ◽

Cited By ~ 3

Author(s):

Thijs G. ter Mors ◽

Steven M. M. van Sterkenburg ◽

Leo H. van den Ham ◽

Michel M. P. J. Reijnen

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm ◽

Internal Iliac ◽

Common Iliac Artery Aneurysm ◽

Aneurysm Repair

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Tailor-made iliac branched device for preserving the internal iliac artery in patients with common iliac artery aneurysm

Journal of the Chinese Medical Association ◽

10.1097/jcma.0000000000000156 ◽

2019 ◽

Vol 82 (9) ◽

pp. 710-713

Author(s):

Po-Lin Chen ◽

Hung-Lung Hsu ◽

I-Ming Chen ◽

Tzu-Ting Kuo ◽

Yin-Yin Chen ◽

...

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm ◽

Internal Iliac ◽

Common Iliac Artery Aneurysm

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Abstract No. 423: Endovascular treatment of bilateral common iliac artery aneurysm using bilateral snorkel(chimney/double barrel) technique to preserve internal iliac artery flow

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2012.01.019 ◽

2012 ◽

Vol 23 (3) ◽

pp. S168

Author(s):

T. Suwan ◽

H. Attaya ◽

B. Natarajan ◽

M. Jacocks ◽

F. Maqbool

Keyword(s):

Endovascular Treatment ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm ◽

Internal Iliac ◽

Common Iliac Artery Aneurysm ◽

Artery Flow

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Iliac Artery Aneurysms

10.2310/vasc.3018 ◽

2017 ◽

Author(s):

Amani D Politano ◽

Kenneth J. Cherry

Keyword(s):

Iliac Artery ◽

Open Repair ◽

Internal Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm ◽

Iliac Arteries ◽

Internal Iliac ◽

The Common ◽

Repair Techniques

The terminal abdominal aorta divides into the common iliac arteries at the L4 level. At the level of the sacrum, the common iliac arteries divide into the external iliac arteries and internal iliac (hypogastric) arteries. This review covers aneurysms of the iliac arteries, with discussion of the anatomy, clinical evaluation, investigative studies, management, and follow-up imaging. Figures show common presenting configurations of iliac artery aneurysms, examples of open repair techniques for common iliac artery aneurysms, example of internal iliac artery revascularization in the setting of common iliac artery aneurysm repair, examples of endovascular repair techniques for common iliac artery aneurysms, complex hybrid repair of multiple iliac aneurysms, examples of open repair techniques for internal iliac artery aneurysms, and examples of endovascular repair for internal iliac artery aneurysms. Tables list normal diameters reported by the Subcommittee on Reporting Standards for Arterial Aneurysms, rate of growth of aneurysms based on size at presentation, presenting signs and symptoms of iliac artery aneurysm, and location, rupture, and mortality reported in the literature. This review contains 7 highly rendered figures, 4 tables, and 91 references Keywords: Iliac artery aneurysms; IAA; Common iliac artery aneurysms; Internal iliac artery aneurysm; IIAA; External iliac artery aneurysm

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Isolated iliac artery aneurysm in association with congenital pelvic kidney treated with iliac branch device: case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01409-x ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Guilherme Centofanti ◽

Kenji Nishinari ◽

Bruna De Fina ◽

Rafael Noronha Cavalcante ◽

Mariana Krutman ◽

...

Keyword(s):

Computed Tomography ◽

Iliac Artery ◽

Computed Tomography Angiography ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Maximum Diameter ◽

Pelvic Kidney ◽

Iliac Artery Aneurysm ◽

Left Common Iliac Artery ◽

Common Iliac Artery Aneurysm

Abstract Background Association of abdominal aortic aneurysm with congenital pelvic kidney is rare and association with isolated iliac artery aneurysm is not yet described in the literature. Case presentation We present a case of successful repair of an isolated common iliac artery aneurysm associated with a congenital pelvic kidney treated by an endovascular technique. A 75-year-old man was referred for the treatment of an asymptomatic left common iliac artery aneurysm. A computed tomography angiography revealed an isolated left common iliac artery aneurysm and a left pelvic kidney. The maximum diameter of the aneurysm was 32 mm. The congenital pelvic kidney was supplied by three small superior polar arteries that emerged from the proximal non-aneurysmal portion of the common iliac artery and the main artery that arose from the left internal iliac artery. The aneurysm exclusion was accomplished by using an iliac branch device (Gore Excluder Iliac Branch, Flagstaff, AZ). The 1 and 6 months computed tomography angiography after the procedure demonstrated complete exclusion of the aneurysm and preservation of all renal arteries. Conclusion Treating patients with an association of iliac artery aneurysms and pelvic kidneys can be a challenge due the variable arterial anatomy. The use of iliac branch device is a safe and effective alternative in selected cases.

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A rare cause of massive haematuria: Internal iliac artery-ureteric fistula

Vascular ◽

10.1177/1708538114538623 ◽

2014 ◽

Vol 23 (2) ◽

pp. 193-196 ◽

Cited By ~ 2

Author(s):

Ahsan M Rao ◽

Ahmed Khalil ◽

Stuart Suttie

Keyword(s):

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

Computerised Tomography ◽

Subsequent Infection ◽

Arterial Tree ◽

Iliac Artery Aneurysm ◽

Internal Iliac Artery Aneurysm ◽

Internal Iliac ◽

Uncommon Condition

Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascular exclusion of the aneurysm and its management. Nephrostogram identified the fistula not seen on computerised tomography. This case highlights the awareness of such pathology allowing for prompt recognition of the condition and importance of appropriate imaging.

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Coil embolisation of an internal iliac artery aneurysm after surgical repair of an infrarenal aortic aneurysm

VASA ◽

10.1024/0301-1526.36.2.138 ◽

2007 ◽

Vol 36 (2) ◽

pp. 138-142 ◽

Cited By ~ 2

Author(s):

Sixt ◽

Rastan ◽

Schwarzwälder ◽

Schwarz ◽

Frank ◽

...

Keyword(s):

Aortic Aneurysm ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

High Morbidity ◽

Coil Embolisation ◽

Iliac Artery Aneurysm ◽

Cross Sectional ◽

Infrarenal Aortic Aneurysm ◽

Internal Iliac

We report a case of an 86-year-old asymptomatic patient, who underwent a repair of the infrarenal abdominal aortic aneurysm 13 years ago. He presented with a left internal iliac artery (IIA) aneurysm with a short neck of 3 mm, and a partially thrombosed lumen with a cross sectional diameter of 5.6 cm and a length of 8.9 cm. With respect to the high morbidity and mortality and awareness of the recommendation to treat aneurysms larger than 3 cm in diameter, we discussed the optimal treatment options. As endoprosthesis implantation was not feasible we performed a selective coil embolisation of the distal branches of the left internal artery, which successively lead to a complete thrombosis of the aneurysm. Although coiling additive to other procedures is applied frequently, only few cases of internal iliac aneurysm were treated with coil embolisation alone. During a first outpatient visit 2 months following the procedure the aneurysm was still completely thrombosed.

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