Abstract
Ruptured internal iliac artery aneurysms (IIAA) are rare. Operative treatment carries a high morbidity and mortality while endovascular treatment offers an alternative option. We report a case of ruptured IIAA treated successfully treated by an alternative form of percutaneous coil embolisation. Selective catheterization of all the outflow branches was impossible and the volume of the aneurysm sac precluded embolisation with conventional coils. The sac was, therefore, packed with 10cm lengths of guidewire with the central mandrel removed.
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