title: Treatment of internal iliac artery pseudoaneurysm by an endovascular approach.
abstract: Pseudoaneurysms of the internal iliac artery are uncommon and are usually associated with trauma. We report the case of a 32-year-old man with a 15-day history of trauma to the abdomen and edema of the lower left limb. An arteriogram demonstrated proximal occlusion of the popliteal artery and a pseudoaneurysm in the internal iliac artery. Embolization of the pseudoaneurysm was performed using segments of guide wire that occluded the pseudoaneurysm, followed by proximal occlusion, which was accomplished using coils. An arteriogram after the procedure revealed adequate occlusion of the lesion. This association of guide wires and coils is a treatment option in cases of pseudoaneurysm of the internal iliac artery with large volumes needing to be occluded.
authors.affiliation: Department of Cardiology and Vascular Surgery, University Hospital, São José do Rio Preto, São Paulo, Brazil. godoyjmp@riopreto.com.br
authors.forename: José Maria Pereira
authors.initials: JM
authors.lastname: de Godoy
authors.forename: Luís Fernando
authors.initials: LF
authors.lastname: Reis
authors.forename: Marcelo
authors.initials: M
authors.lastname: Casagrande
authors.forename: Domingo Marcolino
authors.initials: DM
authors.lastname: Braile
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D007083:Iliac Artery; D008297:Male