EURORAD ESR

Case 486

Percutaneous exclusion of an iliac aneurysm by a self -expanding stent graft

Author(s)
D. Vorwerk
 
Patient
female, 52 year(s)
 
 
  • Figure 1
    Iliac aneurysm

    Atherosclerotic aneurysm of right common iliac artery with short proximal neck (note that internal iliac artery has been already embolized

     
    Area of Interest: unknown; Imaging Technique: Iliac aneurysm;
     
     
  • Figure 2
    Embolization of internal iliac artery
     

    Via a contralateral access, a 4 F cobra catheter is insertd into the internal iliac artery

     
    Area of Interest: unknown; Imaging Technique: Embolization of internal iliac artery;

    Several coils were packed into the proximal part of the internal iliac artery. Peripheral embolization should be avoided to prevent buttock pain and to allow collateral blood supply to the peripheral branches.

     
    Area of Interest: unknown; Imaging Technique: Embolization of internal iliac artery;
     
     
  • Figure 3
    Stent graft placement
     

    An 8 mm wide Wallgraft is placed into the iliac axis by gradual deployment

     
    Area of Interest: unknown; Imaging Technique: Stent graft placement;

    Synchronously to pulsations, flow into the aneurysm is maintained despite stent graft placement

     
    Area of Interest: unknown; Imaging Technique: Stent graft placement;

    After additional placement of a balloon-expandable stent, the leak is sealed and the aneurysm has been excluded.

     
    Area of Interest: unknown; Imaging Technique: Stent graft placement;
     
     
Atherosclerotic aneurysm of right common iliac artery with short proximal neck (note that internal iliac artery has been already embolized
 
Via a contralateral access, a 4 F cobra catheter is insertd into the internal iliac artery
 
Several coils were packed into the proximal part of the internal iliac artery. Peripheral embolization should be avoided to prevent buttock pain and to allow collateral blood supply to the peripheral branches.
 
An 8 mm wide Wallgraft is placed into the iliac axis by gradual deployment
 
Synchronously to pulsations, flow into the aneurysm is maintained despite stent graft placement
 
After additional placement of a balloon-expandable stent, the leak is sealed and the aneurysm has been excluded.
 
 
 
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