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

2015 ◽  
Vol 22 (6) ◽  
pp. 886-888 ◽  
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

A Hybrid Internal Iliac Artery Reconstruction for Open Common Iliac Artery Aneurysm Repair

2020 ◽  
Vol 54 (3) ◽  
pp. 292-296
Author(s):  
Marc T. Seligson ◽  
Sungho Lim ◽  
Vishnu Ambur ◽  
Lee Kirksey
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Artery Dissection ◽  
Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Common Iliac Artery Aneurysm ◽  
Vein Injury ◽  
Artery Reconstruction

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.

Rupture of Internal Iliac Artery Aneurysm into the Bladder following Aortic Aneurysm Repair

2001 ◽  
Vol 15 (6) ◽  
pp. 693-695 ◽  
Author(s):  
Sylvie Métairie ◽  
Fabrice Denimal ◽  
Isabelle Floch ◽  
Jean-Christophe Pillet ◽  
Paul Pittaluga ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Internal Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Double D Technique: An Innovative Modified Bifurcated Stent Graft Deployment Strategy for an Isolated Common Iliac Artery Aneurysm With a Challenging Renal Artery Anatomy

2019 ◽  
Vol 53 (7) ◽  
pp. 613-616 ◽  
Author(s):  
Yusuke Date ◽  
Tamaki Takano ◽  
Taishi Fujii ◽  
Takamitsu Terasaki ◽  
Masayuk Sakaguchi
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Artery Aneurysm ◽  
Aortic Bifurcation ◽  
Iliac Artery Aneurysm ◽  
Common Iliac Artery Aneurysm ◽  
The Right ◽  
Aneurysm Repair

Purpose: Endovascular aneurysm repair (EVAR) for an isolated common iliac artery aneurysm (iCIAA) sometimes requires a bifurcated stent graft (SG). In EVAR, it is essential to preserve the renal artery (RA). However, this is challenging in cases of anatomical variation. The double D technique (DDT) can be used in anatomically inadequate cases with a commercially approved bifurcated SG. Here, we report the repair of iCIAA in the presence of a challenging RA anatomy, through EVAR using the DDT. Case Report: An 84-year-old woman was diagnosed with a maximal 35-mm diameter left iCIAA and a nonaneurysmal aorta by computed tomography (CT), which also showed that the right RA arose 50-mm above the aortic bifurcation. The DDT was chosen because commercially approved bifurcated SGs typically require a distance of >70 mm from the proximal position to the aortic bifurcation. Postoperative CT showed excellent results with no endoleaks or SG kinking and occlusion, as well as preservation of robust blood flow to the right RA. Conclusion: Endovascular aneurysm repair using the DDT can be an alternative option for treatment of iCIAA with a challenging RA anatomy.

Iliac Artery Aneurysms

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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