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Endograft exclusion of residual common iliac artery aneurysms
A Derom1, F Vermassen, K Ongena
1Department of Surgery, Hospital De Honte, Terneuzen, The Netherlands.
Insights
Endovascular repair using flexible stent-grafts offers a successful treatment for residual common iliac artery (CIA) aneurysms. This minimally invasive technique effectively excludes aneurysms and maintains endoprosthesis patency.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aneurysm Treatment
Background:
- Residual common iliac artery (CIA) aneurysms can develop after abdominal aortic aneurysm (AAA) repair.
- Iliac artery stumps may require treatment following bypass procedures.
Purpose:
To describe an endovascular approach for residual common iliac artery (CIA) aneurysm.
Methods And Results:
A residual CIA was discovered in a 73-year-old man during routine examination following straight interposition graft placement for a ruptured abdominal aortic aneurysm (AAA). An aortobifemoral bypass was performed with ligation of both aneurysmal iliac arteries. A year later, aneurysms of both CIA stumps were found. On each side, a Hemobahn stent-graft was percutaneously positioned from the external to the internal iliac artery via the superficial femoral artery. Control angiography at 2 months and spiral computed tomographic angiography at 6 and 18 months confirmed exclusion of the aneurysms and patency of the endoprostheses.
Conclusions:
Successful endovascular treatment of residual CIA aneurysm is possible with flexible stent-grafts.