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Updated: Aug 2, 2026
06:11
Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
Published on: May 14, 2020
The isolated internal iliac artery aneurysm--a review
F P Dix1, M Titi, H Al-Khaffaf
1Department of Vascular Surgery, Burnley General Hospital, Burnley, UK. francispauldix@aol.com
Summary
Ruptured internal iliac artery aneurysms are rare but deadly. Early diagnosis and treatment, especially with new endovascular techniques, can significantly reduce mortality for this condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Atherosclerosis Research
Background:
- Isolated internal iliac artery aneurysms (IIIAA) are uncommon but carry a high mortality risk upon rupture.
- Atherosclerotic origin is a key focus in understanding IIIAA epidemiology and natural history.
Purpose of the Study:
- To conduct a comprehensive literature review on atherosclerotic isolated internal iliac artery aneurysms.
- To analyze the epidemiology, etiology, natural history, diagnosis, and management of atherosclerotic IIIAA.
Main Methods:
- Systematic literature search of PubMed, Medline, and Medscape databases.
- Manual cross-referencing of relevant articles to identify studies on atherosclerotic IIIAA.
- Data extraction, tabulation, and analysis of 94 reported cases.
Main Results:
- Atherosclerotic IIIAA predominantly affects males (95%) with a median age of 71.9 years.
- Rupture occurred in 40% of cases, significantly associated with a 31% overall mortality rate.
- Diagnosis involves imaging like ultrasound, CT, and MRA; treatment options range from open surgery to endovascular techniques.
Conclusions:
- Atherosclerotic IIIAA is a rare, potentially fatal condition if not diagnosed early.
- Prompt diagnosis and treatment, particularly utilizing advanced endovascular methods, are crucial for improving patient outcomes.
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