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Int J Angiol 2016; 25(05): e156-e159
DOI: 10.1055/s-0035-1566741
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Staged Endovascular Repair of Isolated Bilateral Internal Iliac Artery Aneurysms: A Case Report

Chrisostomos Maltezos
1   Department of Vascular Surgery, ‘KAT’ General Hospital of Athens, Athens, Greece
,
George Galyfos
1   Department of Vascular Surgery, ‘KAT’ General Hospital of Athens, Athens, Greece
,
Stavros Kerasidis
1   Department of Vascular Surgery, ‘KAT’ General Hospital of Athens, Athens, Greece
,
Georgios Geropapas
1   Department of Vascular Surgery, ‘KAT’ General Hospital of Athens, Athens, Greece
,
Nikolaos Makris
2   Department of Radiology, ‘KAT’ General Hospital of Athens, Athens, Greece
› Author Affiliations
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Publication History

Publication Date:
19 November 2015 (online)

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Abstract

This report aims to present an unusual case with isolated bilaterally located internal iliac artery aneurysms (IIAAs) that were incidentally detected. Owing to the high surgical risk of the patient and anatomical location of the aneurysms, an endovascular management was preferred. Initially, the patient underwent a percutaneous embolization of the right-sided aneurysm with coiling. A stent-graft deployment covering the orifice of the left-sided internal iliac artery and occluding the ipsilateral aneurysm followed 1 month later. The patient remains asymptomatic after 6 months. Endovascular management has been associated with lower morbidity and hospital stay compared with open repair for IIAAs, although both techniques show satisfying early and mid-term results. Especially for bilaterally located aneurysms, a staged strategy decreases the risk for ischemic complications. Finally, endovascular methods should be preferred when there are no compression symptoms or in cases of higher surgical risk.

Keywords

bilateral - internal iliac artery - aneurysm - endovascular - coiling
 

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