Internal Iliac Artery Embolization with Bilateral Occlusion before Endovascular Aortoiliac Aneurysm Repair—Clinical Outcome of Simultaneous and Sequential Intervention

Proximal occlusion of unaffected internal iliac artery versus distal occlusion of aneurysmatic internal iliac artery prior to EVAR: a comparative evaluation of efficacy and clinical outcome

“…Because of better anatomic conditions, we expected better clinical outcomes for ProxEmbX in patients with non-aneurysmatic IIA, like other investors did. [22][23][24] Coil embolization is the standard procedure for embolization of IIA prior to EVAR. Several studies reported high technical success rates.…”

Results of Repair of Iliac Artery Aneurysms with the Sandwich Technique

“…Th ere are other signifi cant complications related to IIA sacrifi ce. Th ese include spinal cord and lumbosacral plexus ischemia ( 16,17 ), scrotal necrosis ( 18 ), ischemic colitis ( 6 ), and erectile dysfunction ( 19 ).…”

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

“…Alternatively, aneurysm treatment via iliac side branch prosthesis can be considered. If these systems are not used, simultaneous closure of the contralateral internal iliac arteries or closure of both internal iliac arteries in an iliac aneurysm on both sides, i. e., endovascular repair, is relatively contraindicated even though individual case reports show that internal iliac artery closure on both sides can remain asymptomatic [38]. To allow complication-free passage of the stent graft (13 -22 French), a diameter of the external iliac artery of at least 7 mm must be maintained to prevent dissection or vascular rupture.…”