title: Common Iliac Artery Aneurysm Repair Using a Sac-Anchoring Endograft to Preserve the Internal Iliac Artery.
abstract: OBJECTIVE
  To report the application of the Nellix endovascular aneurysm sealing system to successfully treat a unilateral common iliac aneurysm and preserve the internal iliac artery.
  
  
  METHODS
  An 85-year-old man presented with right-sided necrosis of the third and fourth toe. Computed tomography angiography (CTA) showed a right 40-mm popliteal aneurysm and a 38-mm left fusiform common iliac artery aneurysm. After endovascular exclusion of the popliteal aneurysm, the Nellix device was positioned to exclude the common iliac artery aneurysm while preserving the internal iliac artery. Postoperative CTA showed no endoleak and a patent internal iliac artery. At 1 year, duplex ultrasound documented a common iliac aneurysm diameter of 32 mm without complications.
  
  
  CONCLUSIONS
  Endovascular sealing using the Nellix device can be applied to exclude selected common iliac artery aneurysms with an adequate length and a minimal distal neck, with preservation of the internal iliac artery. The endobag can be positioned such that the aneurysm is completely excluded while the orifice of the side branch is not endangered.
authors.affiliation: Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands.
authors.forename: Thijs G
authors.initials: TG
authors.lastname: ter Mors
authors.affiliation: Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands.
authors.forename: Steven M M
authors.initials: SM
authors.lastname: van Sterkenburg
authors.affiliation: Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands.
authors.forename: Leo H
authors.initials: LH
authors.lastname: van den Ham
authors.affiliation: Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands mmpj.reijnen@gmail.com.
authors.forename: Michel M P J
authors.initials: MM
authors.lastname: Reijnen
mesh_terms: D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D008297:Male; D011474:Prosthesis Design
keywords: aneurysm; common iliac artery; endovascular aneurysm sealing; hypogastric artery; internal iliac artery