Endovascular Aneurysm Repair or Open Surgery for Treatment of Abdominal Aortic Aneurysm with Involvement of Both Common Iliac Arteries ?

Abstract

Endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA) involving the entire common iliac arteries requires proximal coil embolisation of both internal iliac arteries and extension of the stent graft into the external iliac arteries (type E according to the Eurostar classification). A potential complication of this treatment is pelvic ischemia. Therefore, this type of aneurysm is a relative contra-indication for EVAR.

In this case-report we describe a hybrid procedure preserving antegrade circulation in one of the internal iliac arteries in a patient with a type E aneurysm who was unfit for open surgery.

Key Words:

• Endoprosthesis
• endovascular aneurysm repair (EVAR)
• internal iliac artery
• pelvic ischemia

Additional information

Notes on contributors

I. Fourneau

I. Fourneau, M.D., Ph.D. Department of vascular surgery UZ Leuven Herestaat 49 B-3000 Leuven, Belgium Tel.: [phone] E-mail: [email protected]