Endovascular occlusion of a common iliac artery aneurysm after open repair of an abdominal aortic aneurysm

Abstract

Endovascular therapy is a safe alternative to treat the late complications of open aortic surgery. Here we report the endoluminal treatment of a recurrent common iliac aneurysm. A 68-year-old man, who submitted five years previously to an aorto bifemoral in order to exclude a juxta renal aortic aneurysm, developed a recurrent aneurysm of the left common iliac artery. He underwent an occlusion of the external iliac artery with a self-expandable nitinol mesh occlusion device and the aneurysm was embolized with detachable coils, with a good outcome. Endoluminal therapy does not expose patients to elevated risks, and may be indicated in selected cases to treat the complications of open surgery.