title: Staged Endovascular Repair of Isolated Bilateral Internal Iliac Artery Aneurysms: A Case Report.
abstract: This report aims to present an unusual case with isolated bilaterally located internal iliac artery aneurysms (IIAAs) that were incidentally detected. Owing to the high surgical risk of the patient and anatomical location of the aneurysms, an endovascular management was preferred. Initially, the patient underwent a percutaneous embolization of the right-sided aneurysm with coiling. A stent-graft deployment covering the orifice of the left-sided internal iliac artery and occluding the ipsilateral aneurysm followed 1 month later. The patient remains asymptomatic after 6 months. Endovascular management has been associated with lower morbidity and hospital stay compared with open repair for IIAAs, although both techniques show satisfying early and mid-term results. Especially for bilaterally located aneurysms, a staged strategy decreases the risk for ischemic complications. Finally, endovascular methods should be preferred when there are no compression symptoms or in cases of higher surgical risk.
authors.affiliation: Department of Vascular Surgery, 'KAT' General Hospital of Athens, Athens, Greece.
authors.forename: Chrisostomos
authors.initials: C
authors.lastname: Maltezos
authors.affiliation: Department of Vascular Surgery, 'KAT' General Hospital of Athens, Athens, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Galyfos
authors.affiliation: Department of Vascular Surgery, 'KAT' General Hospital of Athens, Athens, Greece.
authors.forename: Stavros
authors.initials: S
authors.lastname: Kerasidis
authors.affiliation: Department of Vascular Surgery, 'KAT' General Hospital of Athens, Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Geropapas
authors.affiliation: Department of Radiology, 'KAT' General Hospital of Athens, Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Makris
keywords: aneurysm; bilateral; coiling; endovascular; internal iliac artery