Ruptured internal iliac artery aneurysm: staged emergency endovascular treatment in the interventional radiology suite.
Ruptured aneurysms of the internal iliac artery (IIA) are rare and challenging to treat surgically. Due to their anatomic location they are difficult to operate on and perioperative morbidity is high. An endovascular approach can be helpful. We recently treated a patient with a ruptured IIA aneurysm in the interventional radiology suite with embolization of the side-branch of the IIA and placement of a covered stent in the ipsilateral common and external iliac arteries. A suitable stent-graft was not available initially and had to be brought in from elsewhere. An angioplasty balloon was temporarily placed across the ostium of the IIA to obtain hemostasis. Two hours later, the procedure was finished by placing the stent-graft.
van Kelckhoven
Bas-Jeroen
BJ
Department of Radiology, HagaZiekenhuis, Location Leyenburg, Leyweg 275, 2545 CH, Den Haag, The Netherlands. bjvankelckhoven@hotmail.com
Bruijninckx
Boy M A
BM
Knippenberg
Bob
B
van Overhagen
Hans
H
D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000379:methods*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D004630:Emergencies; D006489:Hemostatic Techniques; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D015642:Radiology, Interventional / Q000379:methods*; D019233:Retreatment; D015607:Stents; D014057:Tomography, X-Ray Computed