Purpose: The aim is to present a case of bilateral internal iliac artery
aneurysms (IIAAs) endovascular repair without proper distal landing
zone using an off the shelf technique of Covered Endovascular
Reconstruction of Internal Iliac Bifurcation (CERIIB). Technique: A 67-
year-old male had a known history of open surgical repair of an
infrarenal AAA 12 years ago. During follow up, computed tomography
angiography (CTA) revealed bilateral internal iliac artery aneurysms (30
mm of diameter). We used a technique deploying firstly a
balloon expandable covered stent (BXCS) in the proximal part of the IIA,
and then two parallel BXCS in the two main outflow branches of each
IIA. In the left side additional a kissing stent technique was undertaken
(BXCS in external and a balloon into the IIA). The postoperative
course of the patient was uneventful and was he discharged at
second post-operative day, while the first-month CTA demonstrated
optimal outcome.