Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Eur J Vasc Endovasc Surg. 2013 Mar;45(3):218-9. doi: 10.1016/j.ejvs.2012.11.013. Epub 2013 Jan 8.
Due to their anatomic location, internal iliac artery aneurysms are difficult to treat surgically. An endovascular approach can be helpful, even in ruptured cases.
We report a 71-year-old male with ruptured isolated bilateral internal iliac artery aneurysms. The aneurysms were treated with embolisation of the branching arteries of the bilateral internal iliac arteries followed by placement of a stent graft covering the orifice of the bilateral internal iliac arteries. The patient tolerated this procedure well.
Even in patients with ruptured aneurysms, endovascular treatment for internal iliac artery aneurysms can be a good treatment option.
由于其解剖位置,髂内动脉动脉瘤很难进行手术治疗。血管内方法可能会有所帮助,即使是在破裂的情况下也是如此。
我们报告了一例 71 岁男性患者,其双侧髂内动脉破裂孤立性动脉瘤。通过栓塞双侧髂内动脉分支血管,然后放置支架移植物覆盖双侧髂内动脉开口来治疗动脉瘤。患者耐受了这一过程。
即使对于破裂的动脉瘤患者,髂内动脉动脉瘤的血管内治疗也可以是一个很好的治疗选择。