Stent graft implantation combined with coil embolization and external-internal iliac artery bypass surgery: Report of a case

A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with history of formation after blunt trauma. Persistent sciatic artery and its traumatic aneurysm was diagnosed after medical examination followed by peripheric digital substraction angiography. Surgery was performed under general anesthesia, and the patient was discharged from the hospital on postoperative day 7 without any problems. The sciatic artery, a continuation of the internal iliac artery into the popliteal-tibial vessels, represents the major blood supply to the lower limb in early embryologic development. Its persistence is very rare, and the aneurysmatic dilatation is the most common pathology diagnosed. Here, we present a rare case of persistent sciatic artery presenting with a traumatic aneurysm treated by iliopopliteal bypass surgery and ligation of the internal iliac artery proximal to the aneurysm.

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Hemorrhage Secondary to Pelvic Fracture: Coil Embolization of an Aberrant Obturator Artery

Journal of Endovascular Therapy ◽

10.1177/152660280301000341 ◽

2003 ◽

Vol 10 (3) ◽

pp. 676-680 ◽

Cited By ~ 10

Author(s):

Bernd Daeubler ◽

Suzanne E. Anderson ◽

Michael Leunig ◽

Jürgen Triller

Keyword(s):

Iliac Artery ◽

Coil Embolization ◽

Internal Iliac Artery ◽

Pelvic Ring ◽

External Iliac Artery ◽

Vascular Anomaly ◽

Abdominal Ultrasound ◽

Obturator Artery ◽

Corona Mortis ◽

Internal Iliac

Purpose: To describe the anatomical variations of the corona mortis, a vascular anomaly that may lead to dangerous hemorrhage and possible death. Case Report: A 46-year-old male cyclist was involved in a collision with a car, during which he sustained fractures to the left ribs and pelvic ring. Abdominal ultrasound imaging demonstrated a large (12×6×7 cm) nonhomogeneous mass ventral to the bladder, suggestive of a hematoma, which was confirmed on computed tomography. During angiography, 2 branches of the internal iliac artery were identified as sources of the bleeding; these were successfully embolized with microcoils, but the bleeding continued. Examination of the external iliac system found a lacerated aberrant obturator artery arising from the inferior epigastric branch of the external iliac artery, a condition known as the corona mortis. Additional embolization quelled the hemorrhage. Conclusions: Coil embolization of the internal iliac artery branches is very effective in managing hemorrhage due to pelvic fractures, but variations in the origin of the obturator artery from the internal or external iliac artery may be additional sources of bleeding.

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Management of Type II Endoleak From Internal Iliac Artery Immediately After Endovascular Aneurysm Repair

Vascular and Endovascular Surgery ◽

10.1177/1538574416687736 ◽

2017 ◽

Vol 51 (1) ◽

pp. 47-50 ◽

Cited By ~ 2

Author(s):

Ming-Yi Hsu ◽

Ta-Wei Su ◽

I-Hao Su ◽

Po-Jen Ko ◽

Sung-Yu Chu

Keyword(s):

Iliac Artery ◽

Coil Embolization ◽

Open Surgery ◽

Internal Iliac Artery ◽

Endovascular Aneurysm Repair ◽

Type Ii ◽

Type Ii Endoleak ◽

Internal Iliac ◽

A New Technique ◽

Aneurysm Repair

Inadvertent coverage of origin of internal iliac artery (IIA) during endovascular aneurysm repair may lead to type II endoleak. Except for open surgery, the endovascular solution is limited. We report a case with such complication that was successfully treated with coil embolization using retrograde extrastent approach. This is a new technique that has not been reported before, and as such, had been useful in the treatment of type II endoleak from IIA as an alternative to open ligation of IIA origin.

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