[Successful endovascular repair of isolated iliac aneurysm and reserving the internal iliac artery with fenestrated covered stent].
Isolated iliac aneurysm is rare and difficult for surgery repair because it locates in the deep pelvis. Endovascular repair is preferred currently, and internal  iliac artery is generally embolized in order to avoid the endoleak. Embolization of the internal iliac artery can lead to the complications such as buttock  claudication, colon ischaemia and erectile dysfunction. Therefore, the antegrade flow of internal iliac artery should be reserved. One seventy-seven-year-old male patient with isolated left common iliac aneurysm, 30 mm in diameter, was successful endovascular repaired using fenestrated covered  stent. At 1-month follow up, the patient was asymptomatic. Computed tomography scan shows the iliac aneurysm was completely excluded, and the  antegrade flow of the left common, internal and external iliac arteries were normal.
Department of Intervention Vascular Surgery, Peking University Third Hospital, Beijing, China.
Jing Yuan
JY
Luan
Xuan
X
Li
Qi-chen
QC
Feng
Chang-ming
CM
Wang
Jun
J
Fu
Jin-man
JM
Zhuang
D000368:Aged; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D015607:Stents