Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair

We report a case of an 83-year-old man with a ruptured internal iliac artery (IIA) aneurysm after endovascular repair, which was treated via the ligation of IIA and tight suture of the aneurysm sac. Although there were no findings of obvious endoleak after endovascular treatment, the IIA aneurysm in...

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Autores principales: Harada, Ayumi, Morisaki, Koichi, Kurose, Shun, Yoshino, Shinichiro, Yamashita, Sho, Furuyama, Tadashi, Mori, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958399/
https://www.ncbi.nlm.nih.gov/pubmed/35432644
http://dx.doi.org/10.3400/avd.cr.21-00019
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author Harada, Ayumi
Morisaki, Koichi
Kurose, Shun
Yoshino, Shinichiro
Yamashita, Sho
Furuyama, Tadashi
Mori, Masaki
author_facet Harada, Ayumi
Morisaki, Koichi
Kurose, Shun
Yoshino, Shinichiro
Yamashita, Sho
Furuyama, Tadashi
Mori, Masaki
author_sort Harada, Ayumi
collection PubMed
description We report a case of an 83-year-old man with a ruptured internal iliac artery (IIA) aneurysm after endovascular repair, which was treated via the ligation of IIA and tight suture of the aneurysm sac. Although there were no findings of obvious endoleak after endovascular treatment, the IIA aneurysm increased in size and eventually ruptured. We presumed that pressure to IIA aneurysm via the embolized IIA led to rupture. Aneurysm sac expansion may lead to a rupture despite no endoleak being detected; therefore, close follow-up or re-intervention must be considered. Tight embolization of IIA may prevent endotension in the same case.
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spelling pubmed-89583992022-04-14 Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair Harada, Ayumi Morisaki, Koichi Kurose, Shun Yoshino, Shinichiro Yamashita, Sho Furuyama, Tadashi Mori, Masaki Ann Vasc Dis Case Report We report a case of an 83-year-old man with a ruptured internal iliac artery (IIA) aneurysm after endovascular repair, which was treated via the ligation of IIA and tight suture of the aneurysm sac. Although there were no findings of obvious endoleak after endovascular treatment, the IIA aneurysm increased in size and eventually ruptured. We presumed that pressure to IIA aneurysm via the embolized IIA led to rupture. Aneurysm sac expansion may lead to a rupture despite no endoleak being detected; therefore, close follow-up or re-intervention must be considered. Tight embolization of IIA may prevent endotension in the same case. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022-03-25 /pmc/articles/PMC8958399/ /pubmed/35432644 http://dx.doi.org/10.3400/avd.cr.21-00019 Text en © 2022 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Harada, Ayumi
Morisaki, Koichi
Kurose, Shun
Yoshino, Shinichiro
Yamashita, Sho
Furuyama, Tadashi
Mori, Masaki
Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title_full Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title_fullStr Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title_full_unstemmed Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title_short Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
title_sort internal iliac artery aneurysm ruptures with no visualized endoleak 2 years after endovascular repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958399/
https://www.ncbi.nlm.nih.gov/pubmed/35432644
http://dx.doi.org/10.3400/avd.cr.21-00019
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