Document Detail

CT-guided embolization of an isolated internal iliac artery aneurysm 8 years after AAA repair.
MedLine Citation:
PMID:  16928173     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report the use of computed tomographic (CT) guidance for percutaneous treatment of an isolated internal iliac artery (IIA) aneurysm after open aortic aneurysm repair. CASE REPORT: A 74-year-old man presented with an isolated IIA aneurysm 8 years after an open repair of his abdominal aortic aneurysm. In view of his diabetes, hypertension, and chronic renal impairment, an endovascular technique was selected. However, because of previous ligation of the internal iliac origin, a transarterial approach could not be used. The proximity of the aneurysm to the anterior abdominal wall allowed us to gain access to it percutaneously using CT guidance to perform embolization. CONCLUSION: CT-guided direct puncture of isolated IIA aneurysms adds to the current armamentarium of minimally invasive modalities. It is a technique that can be applied to isolated IIA aneurysms that develop subsequent to AAA repair or appear in cases where intra-arterial access is not possible.
Matthew Cartwright-Terry; Raymond Ashleigh; Derrick Martin; Akhtar Nasim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  13     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-24     Completed Date:  2006-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  561-4     Citation Subset:  IM    
Department of Vascular Surgery, South Manchester University Hospitals Trust, Manchester, UK.
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MeSH Terms
Aneurysm / pathology,  radiography,  therapy*
Aortic Aneurysm, Abdominal
Embolization, Therapeutic / methods*
Iliac Artery / pathology,  radiography*
Postoperative Complications
Time Factors
Tomography, X-Ray Computed*

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