scholarly journals Iliac Artery Aneurysm Repair with Preservation of a Single Ectopic Pelvic Kidney

2015 ◽  
Vol 42 (1) ◽  
pp. 61-62
Author(s):  
Aurelio Sarralde ◽  
Carolina Perez-Negueruela ◽  
José M. Bernal
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Saline Solution ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Systemic Circulation ◽  
Pelvic Kidney ◽  
Iliac Artery Aneurysm ◽  
Cold Saline ◽  
One Year

An ultrasonographic study in a 60-year-old man incidentally detected an iliac artery aneurysm that gave rise to the renal artery of a single ectopic pelvic kidney. Renal-preservation solution could not be used during surgery, because the unclamped renal vein would have enabled the solution to enter the systemic circulation. Therefore, cold saline solution was infused through the renal ostium, and the kidney was maintained under cold saline immersion. We performed aortoiliac bypass and then implanted the renal artery into the bypass graft. Postoperatively, the patient's serum creatinine level increased; after one year, his renal function was normal. We discuss our use of cold saline solution for renal preservation.

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

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.

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.

Aneurisma Isolado de Artérias Ilíacas - Relato de Caso / Isolated Iliac Artery Aneurysm - Case Report

1970 ◽  
Vol 6 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Seleno Glauber de Jesus-Silva ◽  
Melissa Andreia de Moraes Silva ◽  
Matheus Vilela de Figueiredo ◽  
Giuliano Frediani Tasca Okamoto ◽  
Rodolfo Souza Cardoso
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Femoral Access ◽  
Hybrid Techniques ◽  
Aortic Stent Graft ◽  
Internal Iliac ◽  
One Year

RESUMOIntrodução: Os aneurismas de artérias ilíacas (AAI) isolados são condições raras, ocorrendo em somente 1% dos aneurismas periféricos. O tratamento endovascular é atualmente a opção de escolha à cirurgia aberta, porém ainda é sujeito a complicações no intra e pós-procedimento. Relato: Sexo masculino, 77 anos, hipertenso, portador de AAI comuns simultâneos foi submetido à correção endovascular através de implante de extensões ilíacas de endopróteses de aorta abdominal e embolização da artéria ilíaca interna esquerda. Após 50 dias houve trombose de todo o segmento ilíaco esquerdo e embolização distal. Realizada fibrinólise intra-arterial (sem sucesso), implante de stents auto expansíveis no segmento ilíaco esquerdo e trombectomia através de acesso femoral superficial. O paciente manteve-se assintomático, sem sequelas neurológicas, com pulso distal presente após um ano de acompanhamento. Conclusão: O tratamento endovascular dos AAI e a correção de suas complicações através de técnicas híbridas são opções factíveis, com bons resultados a curto e médio prazo.Palavras-chave: Aneurisma ilíaco, Angiografia digital, Implante de prótese vascular.ABSTRACT Introduction: Isolated iliac arteries aneurysms (IAA) are rare conditions, occurring in only 1% of all peripheral aneurysms. Endovascular treatment is currently the preferred method compared to open surgery, but  it is still prone to intra- and post-procedure complications. Case report: Male, 77 years, hypertension, with simultaneous common isolated IAA, underwent endovascular repair through implantation of two iliac extensions of abdominal aortic stent graft, and coil embolization of the left internal iliac artery. After 50 days thrombosis of the entire left iliac segment and distal embolization was observed. Intra-arterial fibrinolysis was performed (unsuccessfully), followed by implantation of self-expanding stents in the left iliac segment and thrombectomy through superficial femoral access. The patient remained asymptomatic without neurological sequelae, with palpable distal pulses after one year of follow-up. Conclusion: Endovascular treatment of IAA and treatment of its complications through hybrid techniques are feasible options, with good results in the short and medium-term.Keywords: Iliac aneurysm, Digital subtraction angiography, Blood vessel prosthesis implantation

Secondary Rupture of an Iliac Artery Aneurysm After Exclusion-Bypass

1996 ◽  
Vol 10 (3) ◽  
pp. 296-299 ◽  
Author(s):  
Michel Batt ◽  
André Rogopoulos ◽  
Hervé Bariseel ◽  
Georges Avril ◽  
Reda Hassen-Khodja ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

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

Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 193-196 ◽  
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.

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

VASA ◽  
2007 ◽  
Vol 36 (2) ◽  
pp. 138-142 ◽  
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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