State of the art: Management of iliac artery aneurysmal disease

Abstract

Although relatively uncommon, isolated iliac artery aneurysms are associated with significant risk of rupture and death. Clinical presentation can be confusing and ultrasound or CT imaging is paramount in establishing the diagnosis and anatomical extent of disease. Important considerations prior to intervention include determination of proximal neck, involvement of the internal iliac artery, and status of the contralateral internal iliac artery. Endovascular repair has evolved as the first choice treatment option for patients with anatomically suitable iliac artery aneurysms. In uncommon circumstances when endovascular treatment may result in significant pelvic ischemia or the primary symptoms are related to extrinsic compression of adjacent structures, surgical repair may be the preferred option.

Isolated external iliac artery aneurysm: a rare case presentation of IgG4-related disease

“…8 Other etiologies include trauma, iatrogenic injury, arteritis, connective tissue disorders, and infections. 9 The aneurysmal wall histological examination showed IgG4-positive plasmacytes in the index case. The IgG4-RD was suspected and, on evaluation, fulfilled all the '2020 revised comprehensive diagnostic criteria' 10 -organ involvement, serum IgG4 levels >135 mg/dl, fibrosis and IgG4 positive plasma cells >10/high power field.…”

Multiple and Multidirectional Fissure Bleedings in a Patient With a Spontaneous Isolated Dissection of the Iliac Artery

“…Iliac artery aneurysm is associated with a significant risk of rupture when it reaches a considerable size [ 3 ]. Aortic aneurysm management, a life-threatening condition, has undergone significant changes in the last two decades.…”

“…Aortic aneurysm management, a life-threatening condition, has undergone significant changes in the last two decades. There is a greater inclination toward EVAR than open surgical repair [ 3 , 9 ]. However, with EVAR, the information regarding the underlying cause of the disease becomes even more limited compared to surgery.…”

“…Isolated aneurysms of the iliac arteries account for less than 2% of aortic aneurysms [ 2 ]. Isolated iliac artery aneurysms are related to a significant risk of rupture and death [ 3 ]. Clinical data suggest that endovascular aortic repair (EVAR) improves perioperative outcomes and is associated with comparable long-term survival rates to open surgery [ 4 ].…”

A surprising diagnosis in a young patient with intermittent claudication: Symptomatic isolated external iliac artery aneurysm associated with cystic media necrosis

“… 7 Their overall prevalence is reported as less than 2% of the general population and the underlying pathology and type of isolated IAA includes degenerative aneurysm, pseudoaneurysm, penetrating ulcer, postdissection aneurysm, mycotic aneurysm, and traumatic aneurysm. 11 …”