ISOLATED ILIAC ARTERY ANEURYSM- 10 YEARS INSTITUTIONAL EXPERIENCE

2021 ◽  
pp. 28-30
Author(s):  
Prashant Raman ◽  
Prathap Kumar S ◽  
Velladuraichi B ◽  
N Sritharan
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Iliac Artery ◽  
Case Series ◽  
Artery Aneurysm ◽  
Preoperative Imaging ◽  
Abdominal Ultrasonography ◽  
Iliac Artery Aneurysm ◽  
Elective Repair ◽  
Risk Patients

Objective: To review the experience of our institution in repairing isolated iliac artery aneurysm (isolated IAA) in the last 10 years. Introduction: Unlike abdominal and combined aortoiliac artery aneurysms, isolated iliac artery aneurysms (IIAAs) are uncommon. An isolated iliac artery aneurysm is dened as a twofold increase in the diameter of the iliac artery without a coexisting aneurysm at another location. IIAA was encountered infrequently in the past, comprising 0.9% to 4.7% of all intra-abdominal aneurysms according to a review of previous studies; however, in recent times, many asymptomatic IIAAs have been detected incidentally because of the widespread use of abdominal ultrasonography and computed tomography. Methods: The medical records of patients who underwent isolated IAA repair at Institute of vascular sciences, MMC and RGGGH, Chennai, India, were reviewed, to obtain information on patients' demographics, vascular risk factors, type of treatment and outcome Results: A total of 13 patients with 18 aneurysms, 11 men(84.6%) 2 women(15.4%), with a mean age of 58.1±6 years, and two paediatric patients of age 11yrs (Female) and 3 months (Male) were treated. The mean diameter was 4.6 ± 1.0 for non-ruptured at elective repair; 5.5±2.1 cm on the emergency cases. The majority of aneurysms were at the common iliac artery. All of them except one, underwent open repair.Ten (84%) had elective operations, and two (16%) emergency repair for ruptured aneurysm. Hypertension and diabetes were seen as the most common risk factors with most of the patients were smokers. One was a known case of CKD and the paediatric female was a known case of RHD. There was one postoperative death in this series, patient succumbed on POD 1. Conclusion: This case series reviews the literature with regard to the natural history, diagnostic workup, and treatment of iliac artery aneurysms. For patients undergoing elective repair, preoperative imaging with computed tomography or magnetic resonance is advocated. Repair is recommended for good-risk patients with aneurysms larger than 3.5 cm as there is high chances of rupture with increasing diameter.

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.

Diagnosis by computed tomography of arteriovenous fistula complicating ruptured iliac artery aneurysm

1987 ◽  
Vol 6 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Alan Cheung ◽  
William P. Shuman ◽  
Ted R. Kohler
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Fistula ◽  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

scholarly journals Combined Endovascular/Surgical Management of a Ruptured Para-Anastomotic Aneurysm of the Left Common Iliac Artery#

2009 ◽  
Vol 3 (1) ◽  
pp. 143-146 ◽  
Author(s):  
Dimitrios Maras ◽  
Theofanis T Papas ◽  
Christos D Gekas ◽  
Chrisovalantis Psathas ◽  
Ioannis Kotsikoris ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Signs And Symptoms ◽  
Abdominal Aortic Aneurysm Repair ◽  
Iliac Artery Aneurysm ◽  
Left Common Iliac Artery ◽  
Repair Operation ◽  
Risk Patients

A 75-year old man presented with signs and symptoms of acute abdomen and a clinical picture of hypovolemic shock. An emergency CT scan revealed a ruptured para-anastomotic left common iliac artery aneurysm. The patient had undergone an elective abdominal aortic aneurysm repair operation and placement of an aortoiliac bifurcated graft 10 years before. Para-anastomotic aneurysms had developed in all 3 (aortic and the 2 iliac) anastomosis. As the patient was highrisk, a combined endovascular/surgical approach was undertaken. The patient was discharged 4 days later. This article discusses the applicability of endovascular procedures in emergency settings to high-risk patients.

Exclusion of internal iliac artery aneurysm in high-risk patients

2011 ◽  
Vol 11 (04) ◽  
pp. 241-244 ◽  
Author(s):  
Jun-o Deguchi ◽  
Takatoshi Furuya ◽  
Nobutaka Tanaka ◽  
Hiroyuki Okamoto ◽  
Tatsu Nakazawa ◽  
...  
Keyword(s):  
High Risk ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
High Risk Patients ◽  
Internal Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Risk Patients

Diagnosis by computed tomography of arteriovenous fistula complicating ruptured iliac artery aneurysm

1987 ◽  
Vol 6 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Alan Cheung ◽  
William P. Shuman ◽  
Ted R. Kohler
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Fistula ◽  
Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm

scholarly journals Clinical experience with a shape memory polymer peripheral vascular embolisation plug: a case series

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Robert A. Morgan ◽  
Ian Loftus ◽  
Lakshmi Ratnam ◽  
Raj Das ◽  
Leto Mailli ◽  
...  
Keyword(s):  
Shape Memory ◽  
Clinical Experience ◽  
Iliac Artery ◽  
Shape Memory Polymer ◽  
Endovascular Aneurysm Repair ◽  
Case Series ◽  
Artery Aneurysm ◽  
Gelatin Sponge ◽  
Peripheral Vasculature ◽  
Small Series

Abstract Background Shape memory polymers are materials that are manufactured in a certain shape, can be stored in a temporary deformed shape, and then return to – or remember – their original shape upon exposure to external stimuli such as temperature and moisture. This property lends itself to application in endovascular medical devices. Peripheral vasculature embolisation devices incorporating this novel technology have become commercially available and this case series, where the data were collected as part of a post market registry, outlines initial clinical experience with these novel devices. Results Eight cases are described in this series. The disease state/conditions for which embolisation was indicated were right common iliac artery aneurysms (n = 3), a type II endoleak into the thoracic aorta following thoracic endovascular aneurysm repair (n = 1), a left inferior gluteal artery aneurysm (n = 1), left internal iliac artery aneurysms (n = 2), and a case of splenomegaly, where splenectomy was planned after the embolisation procedure (n = 1). Target arteries were 5–10 mm in diameter. In each case, at least one IMPEDE Embolization Plug (IMP-Device) of an appropriate diameter was used. All procedures were technically successful and target vessel thrombosis was achieved in all cases. Follow-up imaging available during the 45–90-day data collection timeframe showed sustained vessel occlusion. This case series includes examples of situations commonly encountered when embolising the peripheral vasculature, namely, the use of one or multiple devices in a single vessel and in combination with the use of other embolic devices (e.g., microcoils, gelatin sponge, and PVA particles) in the same case. There were no adverse events related to the specific use of the device. Conclusions This small series illustrates the safety and efficacy of this novel sponge-based embolic device for the embolisation of small and medium sized arteries and further experience will demonstrate the utility of the shape memory polymer devices.

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.

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.

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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