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Coil Embolization of Recurrent Internal Iliac Artery Aneurysm via the Superior Gluteal Artery

Takuro Fukumoto1, Yukihisa Ogawa1,2, Kiyoshi Chiba3

  • 1Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Annals of Vascular Diseases
|June 26, 2023
PubMed

We report a case of recurrent internal iliac artery aneurysm previously treated with a combination of stent graft placement and coil embolization in an 85 year-old male patient. The patient was scheduled for the direct puncture embolization of the superior gluteal artery. The patient was placed in a prone position under general anesthesia. An 18G-PTC needle was inserted into the superior gluteal artery under ultrasonographic guidance. A 2.2F microcatheter was inserted through an outer needle and advanced to the aneurysmal sac. Coil embolization was successfully performed without endoleaks. This approach is technically feasible when other treatment options fail or are deemed unsuitable.

Keywords:
embolizationgluteal arteryiliac artery aneurysm

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