Endovascular aneurysm repair has become the first-line treatment for abdominal aortic aneurysms and iliac artery aneurysms in recent years. However, the diameter of the infrarenal aorta is larger than that of the aortic bifurcation, especially with small aortic diameters, for which a reversed tapered device is necessary. We describe the off-label use of the upside-down Gore Excluder limb and do...

An 88-year-old man with hypertension, coronary artery disease, morbid obesity, and a remote history of a prior open abdominal aortic aneurysm repair with an infrarenal tube graft developed acute abdominal pain accompanied by dizziness after a bowel movement. He was taken to an outside hospital, where a computed tomography angiogramwas obtained. This demonstrated a right internal iliac artery an...

PURPOSE Most endografts for an endoluminal AAA repair cannot achieve an adequate hemostatic seal in ectatic common iliac arteries larger than 14 mm. The extension of the endograft into the external iliac artery can alleviate this problem but requires sacrifice of the internal iliac artery. We have used the larger diameter aortic extension cuff to obtain adequate endograft to arterial wall appos...

Femorofemoral bypass is indicated in symptomatic lower-extremity ischemia due to acute or chronic occlusion of a unilateral Iliac Artery, adjunct an endovascular Aortoiliac(AI) exclusion Abdominal Aortic Aneurysm (AAA), unavailability options for management iliac occlusive disease,etc.It’s contraindicated compromised inflow AI arterial segment, significant obesity that may cause unfavorable gra...

A 71-year-old man underwent an abdominal aortic aneurysm open repair eleven years ago. The operation was performed with an aorto-bi-iliac Dacron graft. Three years later, the patient developed a right iliac artery occlusion. Correction was made with a femoral-to-femoral bypass. The patient presented in the emergency department with acute onset of orthopnea and exertional dyspnea. A physical exa...

INTRODUCTION Bilateral common iliac artery (CIA) aneurysm (CIAA) is a rare entity. In the past decade, different endovascular approaches have been adopted for patients with several comorbidities or unfit for open repair (OR). Recently, the use of iliac branch stent graft has been proposed, resulting in satisfactory patency rates and decrease in morbidity. Currently, according to instruction for...

We described a modified technique for implanting a bridging stent-graft into an iliac branched device. A 79-year-old male who had received aortobiiliac synthetic graft surgery for a ruptured abdominal aortic aneurysm six months earlier was admitted to our unit for treatment of a left common iliac aneurysm involving the origin of the hypogastric artery. A standard technique was unsuccessful at i...

Cullen's sign or periumbilical ecchymosis, is classically considered as an indicator of acute hemorrhagic pancreatitis or ruptured ectopic pregnancy. Internal iliac artery aneurysms are rare and are usually asymptomatic. We present a case of a contained rupture of the internal iliac artery aneurysm presenting with Cullen's sign.

Rupture of an aneurysm of the common iliac artery is a rare cause of pain in the hip. We describe an elderly hypertensive patient with an aneurysmal rupture of the left common iliac artery who presented with unilateral hip pain masquerading as septic arthritis.