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Endovascular Treatment of Isolated Bilateral Common Iliac Artery Aneurysms Using Iliac Branched Stent Graft

Joung Taek Kim1, Yong Sun Jeon2, Hyun Kyung Lim3

  • 1Departments of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea.

Vascular Specialist International
|July 29, 2015
PubMed

Insights

Endovascular repair of bilateral common iliac artery aneurysms (CIAAs) can be successful using an internal iliac branched stent graft to preserve pelvic perfusion and prevent buttock claudication.

Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aneurysm Repair

Background:

  • Isolated bilateral common iliac artery aneurysms (CIAAs) pose a challenge for endovascular repair.
  • Preserving at least one internal iliac artery is crucial to prevent pelvic ischemic complications like buttock claudication.

Observation:

  • A 58-year-old man presented with bilateral CIAAs.
  • The left internal iliac artery was occluded; the right was preserved using a branched stent graft.
  • Conventional endovascular aneurysm repair excluded the aneurysms.

Findings:

  • Technical success was confirmed by completion angiography.
  • Three-month follow-up demonstrated complete exclusion of CIAAs, no endoleaks, and a patent right internal iliac artery.
  • No pelvic ischemic complications were observed.

Implications:

  • Iliac branched stent grafts offer a viable solution for treating isolated bilateral CIAAs.
  • This technique effectively prevents pelvic ischemia and buttock claudication in complex iliac aneurysm cases.
  • Successful endovascular management of bilateral CIAAs with internal iliac artery preservation is achievable.

Keywords:
AneurysmEndovascular proceduresIliac branched device

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