Endograft exclusion of residual common iliac artery aneurysms.
OBJECTIVE
To describe an endovascular approach for residual common iliac artery (CIA) aneurysm.


RESULTS
A residual CIA was discovered in a 73-year-old man during routine examination following straight interposition graft placement for a ruptured abdominal aortic aneurysm (AAA). An aortobifemoral bypass was performed with ligation of both aneurysmal iliac arteries. A year later, aneurysms of both CIA stumps were found. On each side, a Hemobahn stent-graft was percutaneously positioned from the external to the internal iliac artery via the superficial femoral artery. Control angiography at 2 months and spiral computed tomographic angiography at 6 and 18 months confirmed exclusion of the aneurysms and patency of the endoprostheses.


CONCLUSIONS
Successful endovascular treatment of residual CIA aneurysm is possible with flexible stent-grafts.
Derom
A
A
Department of Surgery, Hospital De Honte, Terneuzen, The Netherlands.
Vermassen
F
F
Ongena
K
K
D000368:Aged; D000497:Alloys; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D020099:Coated Materials, Biocompatible; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design
D000497:Alloys; D020099:Coated Materials, Biocompatible; C013616:nitinol; D011138:Polytetrafluoroethylene