Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report
Internal iliac artery aneurysms are frequently treated by embolization and stent graft coverage, however, retrograde flow from pelvic collaterals may lead to aneurysm progression that can be difficult to treat. We present the case of a 76-year-old male with an enlarging internal iliac artery aneurys...
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Elsevier
2025-03-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687824001107 |
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| author | Alyssa J. Pyun Ashley C. Hsu Sukgu M. Han Fred A. Weaver Gregory A. Magee |
| author_facet | Alyssa J. Pyun Ashley C. Hsu Sukgu M. Han Fred A. Weaver Gregory A. Magee |
| author_sort | Alyssa J. Pyun |
| collection | DOAJ |
| description | Internal iliac artery aneurysms are frequently treated by embolization and stent graft coverage, however, retrograde flow from pelvic collaterals may lead to aneurysm progression that can be difficult to treat. We present the case of a 76-year-old male with an enlarging internal iliac artery aneurysm despite occlusion of the proximal internal iliac artery and no antegrade filling of the aneurysm sac. Through cross-pelvic retrograde access of the aneurysm sac via collaterals, we used a triaxial telescoping system for embolization of the aneurysm nidus, without major morbidity. This technique is a safe and effective option that can be used in cases where antegrade access is not feasible. |
| format | Article |
| id | doaj-art-1013fe7c756745e2bbee2dce4e2a3a5e |
| institution | DOAJ |
| issn | 2772-6878 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj-art-1013fe7c756745e2bbee2dce4e2a3a5e2025-08-20T02:55:44ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782025-03-015110035910.1016/j.avsurg.2024.100359Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case reportAlyssa J. Pyun0Ashley C. Hsu1Sukgu M. Han2Fred A. Weaver3Gregory A. Magee4Division of Vascular Surgery and Endovascular Therapy, Keck Medicine of the University of Southern California, USACorresponding authors at: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033, USA.; Division of Vascular Surgery and Endovascular Therapy, Keck Medicine of the University of Southern California, USADivision of Vascular Surgery and Endovascular Therapy, Keck Medicine of the University of Southern California, USADivision of Vascular Surgery and Endovascular Therapy, Keck Medicine of the University of Southern California, USACorresponding authors at: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033, USA.; Division of Vascular Surgery and Endovascular Therapy, Keck Medicine of the University of Southern California, USAInternal iliac artery aneurysms are frequently treated by embolization and stent graft coverage, however, retrograde flow from pelvic collaterals may lead to aneurysm progression that can be difficult to treat. We present the case of a 76-year-old male with an enlarging internal iliac artery aneurysm despite occlusion of the proximal internal iliac artery and no antegrade filling of the aneurysm sac. Through cross-pelvic retrograde access of the aneurysm sac via collaterals, we used a triaxial telescoping system for embolization of the aneurysm nidus, without major morbidity. This technique is a safe and effective option that can be used in cases where antegrade access is not feasible.http://www.sciencedirect.com/science/article/pii/S2772687824001107Internal iliac artery aneurysmEndovascular techniqueTherapeutic embolizationCoil embolizationCase report |
| spellingShingle | Alyssa J. Pyun Ashley C. Hsu Sukgu M. Han Fred A. Weaver Gregory A. Magee Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report Annals of Vascular Surgery - Brief Reports and Innovations Internal iliac artery aneurysm Endovascular technique Therapeutic embolization Coil embolization Case report |
| title | Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report |
| title_full | Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report |
| title_fullStr | Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report |
| title_full_unstemmed | Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report |
| title_short | Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report |
| title_sort | cross pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm a case report |
| topic | Internal iliac artery aneurysm Endovascular technique Therapeutic embolization Coil embolization Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2772687824001107 |
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