The 100-Year Evolution of the Isolated Internal Iliac Artery Aneurysm

Few internal iliac artery aneurysms rupture under 4 cm

“…They included all published patients with isolated IIAA, both ruptured (n ¼ 17) and nonruptured (n ¼ 38). 7 In contrast, the present study did not note an increased number of ruptured IIAA on the left side. Small series, such as the one described by Wilhelm et al, 7 are associated with type I statistical error.…”

“…15 Operative mortality rates for nonruptured patients have been reported as being >10%; however, these seem to be lower as well in more recent reports. 7 In a Japanese report of ruptured and nonruptured patients (26 patients), including aneurysms of both the CIAs and IIAs managed by open repair, the 30day mortality was only 3.9% (1 patient), and there were no additional deaths during the 5-year follow-up. 16 Only seven patients, however, had IIAA, and only three of these were ruptures.…”

“…It would seem reasonable, however, to assume that the increased risk of rupture observed in women with AAA may also exist for women with IIAA. 12 In the review by Wilhelm et al, 7 there were more than twice as many left-sided IIAA as right-sided. They included all published patients with isolated IIAA, both ruptured (n ¼ 17) and nonruptured (n ¼ 38).…”

Acute kidney injury secondary to bilateral common iliac artery aneurysms

“…Acute kidney injury (AKI) is a common occurrence in the emergency department. The causes include shock, infection, allergies, immune and urinary tract obstruction, which is the most common reason . Urinary tract obstruction usually occurs in patients with ureteral calculi, prostatic hypertrophy and urinary tumours, and bilateral common iliac artery aneurysm is a rare reason.…”

Large Isolated Internal Iliac Artery Aneurysm

“…artery (Picture 2) and proximal internal iliac artery (Picture 3) was performed with multiple coils (1,2).…”