Hybrid Treatment of an Enlarging Hypogastric Aneurysm Previously Excluded During Abdominal Aortic Aneurysm Repair

A hybrid approach to previously excluded, expanding internal iliac artery aneurysms

“…A similar approach has been described for previously excluded hypogastric artery aneurysms. 16 We believe that this approach has some potential advantages in specific conditions: (1) all critical structures can be avoided if no clear window is available for direct percutaneous access or a transgluteal approach; and (2) minimal dissection is needed compared with conventional open endoaneurysmorrhaphy. The importance of adequate aneurysmal outflow vessel management at the index operation must be emphasized to avoid continued expansion and possible rupture.…”