Iliac Artery Aneurysms

2017 ◽  
Author(s):  
Amani D Politano ◽  
Kenneth J. Cherry
Keyword(s):  
Iliac Artery ◽  
Open Repair ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
The Common ◽  
Repair Techniques

The terminal abdominal aorta divides into the common iliac arteries at the L4 level. At the level of the sacrum, the common iliac arteries divide into the external iliac arteries and internal iliac (hypogastric) arteries.  This review covers aneurysms of the iliac arteries, with discussion of the anatomy, clinical evaluation, investigative studies, management, and follow-up imaging. Figures show common presenting configurations of iliac artery aneurysms, examples of open repair techniques for common iliac artery aneurysms, example of internal iliac artery revascularization in the setting of common iliac artery aneurysm repair, examples of endovascular repair techniques for common iliac artery aneurysms, complex hybrid repair of multiple iliac aneurysms, examples of open repair techniques for internal iliac artery aneurysms, and examples of endovascular repair for internal iliac artery aneurysms. Tables list normal diameters reported by the Subcommittee on Reporting Standards for Arterial Aneurysms, rate of growth of aneurysms based on size at presentation, presenting signs and symptoms of iliac artery aneurysm, and location, rupture, and mortality reported in the literature. This review contains 7 highly rendered figures, 4 tables, and 91 references Keywords: Iliac artery aneurysms; IAA; Common iliac artery aneurysms; Internal iliac artery aneurysm; IIAA; External iliac artery aneurysm

A Hybrid Internal Iliac Artery Reconstruction for Open Common Iliac Artery Aneurysm Repair

2020 ◽  
Vol 54 (3) ◽  
pp. 292-296
Author(s):  
Marc T. Seligson ◽  
Sungho Lim ◽  
Vishnu Ambur ◽  
Lee Kirksey
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Artery Dissection ◽  
Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Common Iliac Artery Aneurysm ◽  
Vein Injury ◽  
Artery Reconstruction

Common iliac artery (CIA) aneurysms present across a spectrum of anatomic variants that can pose unique operative challenges. A wide variety of procedural approaches have been described in the literature with current therapeutic options including both open and endovascular repair. These techniques may involve either ligation or embolization of the internal iliac artery (IIA) with reliance on collateralized blood flow to the pelvis to mitigate postoperative complications. However, preservation of the IIA is often preferred. This case report describes a hybrid surgical approach for treating CIA aneurysms while preserving IIA perfusion. Our technique mitigates the risks of hypogastric artery dissection (including hypogastric vein injury) in the presence of a large CIA aneurysm.

Common Iliac Artery Aneurysm Repair Using a Sac-Anchoring Endograft to Preserve the Internal Iliac Artery

2015 ◽  
Vol 22 (6) ◽  
pp. 886-888 ◽  
Author(s):  
Thijs G. ter Mors ◽  
Steven M. M. van Sterkenburg ◽  
Leo H. van den Ham ◽  
Michel M. P. J. Reijnen
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Internal Iliac ◽  
Common Iliac Artery Aneurysm ◽  
Aneurysm Repair

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.

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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