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Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery

Isolated aneurysms of the iliac arteries comprise less than 2% of abdominal aneurysms. The internal iliac artery is involved in 10-30% of cases. In most cases patients are asymptomatic, unless rupture occurs. They can be diagnosed by Doppler ultrasonography, magnetic resonance imaging or, preferably...

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Autores principales: Joviliano, Edwaldo Edner, Vieira, Daniela, Moreira, Letícia da Silva, Casas, André Luís Foroni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629456/
https://www.ncbi.nlm.nih.gov/pubmed/31320888
http://dx.doi.org/10.1590/1677-5449.180115
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author Joviliano, Edwaldo Edner
Vieira, Daniela
Moreira, Letícia da Silva
Casas, André Luís Foroni
author_facet Joviliano, Edwaldo Edner
Vieira, Daniela
Moreira, Letícia da Silva
Casas, André Luís Foroni
author_sort Joviliano, Edwaldo Edner
collection PubMed
description Isolated aneurysms of the iliac arteries comprise less than 2% of abdominal aneurysms. The internal iliac artery is involved in 10-30% of cases. In most cases patients are asymptomatic, unless rupture occurs. They can be diagnosed by Doppler ultrasonography, magnetic resonance imaging or, preferably, angiotomography. Significant expansion, diameter of 3 cm or greater, and symptomatic cases are indications for surgery. We present the case of a patient with an incidental ultrasonographic finding of bilateral aneurysm of the internal iliac arteries, both with indications for surgery. The patient was successfully treated with endovascular techniques, first repairing the right internal iliac with a branched iliac stent graft, preserving patency, then embolizing the left internal iliac artery. Knowledge of the various different techniques and devices and their limitations is fundamental to adequate planning of endovascular treatment, even in rare cases.
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spelling pubmed-66294562019-07-18 Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery Joviliano, Edwaldo Edner Vieira, Daniela Moreira, Letícia da Silva Casas, André Luís Foroni J Vasc Bras Therapeutic Challenge Isolated aneurysms of the iliac arteries comprise less than 2% of abdominal aneurysms. The internal iliac artery is involved in 10-30% of cases. In most cases patients are asymptomatic, unless rupture occurs. They can be diagnosed by Doppler ultrasonography, magnetic resonance imaging or, preferably, angiotomography. Significant expansion, diameter of 3 cm or greater, and symptomatic cases are indications for surgery. We present the case of a patient with an incidental ultrasonographic finding of bilateral aneurysm of the internal iliac arteries, both with indications for surgery. The patient was successfully treated with endovascular techniques, first repairing the right internal iliac with a branched iliac stent graft, preserving patency, then embolizing the left internal iliac artery. Knowledge of the various different techniques and devices and their limitations is fundamental to adequate planning of endovascular treatment, even in rare cases. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2019-04-17 /pmc/articles/PMC6629456/ /pubmed/31320888 http://dx.doi.org/10.1590/1677-5449.180115 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Therapeutic Challenge
Joviliano, Edwaldo Edner
Vieira, Daniela
Moreira, Letícia da Silva
Casas, André Luís Foroni
Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title_full Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title_fullStr Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title_full_unstemmed Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title_short Endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
title_sort endovascular treatment of bilateral isolated aneurysm of the internal iliac artery
topic Therapeutic Challenge
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629456/
https://www.ncbi.nlm.nih.gov/pubmed/31320888
http://dx.doi.org/10.1590/1677-5449.180115
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