Abstract
Isolated aneurysms of the iliac arteries are relatively rare conditions that traditionally have been treated by surgical reconstruction. We report our experience with endovascular treatment of iliac artery aneurysms (IAAs) with Anaconda stent graft limb. Two male patients were found to have 4.5 and 3.6 cm isolated common IAAs, respectively. The endograft was successfully advanced and deployed precisely to the intended position in both cases. In one case the internal iliac artery was embolized. No type I or II endoleak was observed immediately after the procedure. In one patient postimplantation fever (>38°C) and gluteal claudication occurred. After 2 years followup both iliac endovascular stent grafts are patent and without endoleak. Endovascular treatment with Anaconda limb stent graft seems to be a safe and feasible alternative to open surgery.
Highlights
Isolated aneurysms of the iliac arteries are relatively rare representing 2% to 7% of all intra-abdominal aneurysms [1, 2]
Elective repair has been recommended for Iliac artery aneurysms (IAAs) with diameter greater than 3 cm to reduce the risk of rupture
We report our experience in endovascular treatment of isolated iliac artery aneurysms with the Anaconda limb stent graft
Summary
Isolated aneurysms of the iliac arteries are relatively rare representing 2% to 7% of all intra-abdominal aneurysms [1, 2]. Iliac artery aneurysms (IAAs) are most frequently localized in the common or internal iliac artery (IIA) in combination with an abdominal aortic aneurysm. Elective repair has been recommended for IAAs with diameter greater than 3 cm to reduce the risk of rupture. They have been treated by surgical reconstruction [3, 4]. The development of new endovascular devices offers alternative therapies [5]. We report our experience in endovascular treatment of isolated iliac artery aneurysms with the Anaconda limb stent graft
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