title: Endovascular repair of an infected ruptured isolated iliac artery aneurysm combined with congenital lymphedema: report of a case.
abstract: OBJECTIVE
  A novel technique using the reversed iliac leg of a Zenith device has been reported. This study reports a complicated isolated iliac artery aneurysm (IIAA) using this novel technique and reviews the relative literature to discuss current treatment modalities.
  
  
  METHODS
  A 46-year-old man presented with a mass in the left lower quadrant accompanied by abdominal pain for 60 days. Computer tomography angiography (CTA) revealed a complicated IIAA and a massive retroperitoneal hematoma. Percutaneous puncture and drainage at the hematoma was done. Enterococcus faecium was isolated from the hematoma. The infection was controlled after 2 weeks of drainage and anti-infection treatment. The IIAAs were successfully excluded using the novel technique. The 12-month CTA follow-up was unremarkable.
  
  
  CONCLUSIONS
  Using inverted Zenith device legs is safe and effective even in complicated IIAAs. Further studies are warranted before it can become a widely acceptable definitive treatment option.
authors.affiliation: 1Beijing Shijitan Hospital, Beijing, China.
authors.forename: Fuxian
authors.initials: F
authors.lastname: Zhang
authors.forename: Changming
authors.initials: C
authors.lastname: Zhang
authors.forename: Yaping
authors.initials: Y
authors.lastname: Feng
authors.forename: Xiaoyun
authors.initials: X
authors.lastname: Luo
authors.forename: Lu
authors.initials: L
authors.lastname: Hu
authors.forename: Gangzhu
authors.initials: G
authors.lastname: Liang
authors.forename: Huan
authors.initials: H
authors.lastname: Zhang
authors.forename: Luyuan
authors.initials: L
authors.lastname: Niu
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D013293:Enterococcus faecalis / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000382:microbiology* / Q000601:surgery*; D007866:Leg / Q000473:pathology; D008209:Lymphedema / Q000151:congenital* / Q000382:microbiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged