Isolated iliac artery aneurysms are uncommon and frequently remain unde tected until they reach significant size. Often their first clinical presentation is with rupture of the aneurysm. Direct surgical intervention has been the usual mode of treatment. Successful treatment of iliac aneurysms by alternative approaches in two elderly, debilitated patients is reported. Extraanatomic bypass and catheter embolization were used in both resulting in a minimal in-hospital stay for the patients without morbidity or mortality.
Get full access to this article
View all access options for this article.
References
1.
Berguer R., Schneider J., Wilner HI: Induced thrombosis of inoperable abdominal aortic aneurysm. Surgery84:425-429, 1978.
2.
Blaisdell FW, Carson SN: Alternatives to direct surgery of aortoiliac disease. In: Surgery of the aorta and its Body Brances, ed. by Bergan JJ, Yao JST, New York, Brune and Straton, 1979 , pp. 297-304.
3.
Blaisdell FW , Hall AD, Thomas AN: Ligation treatment of an abdominal aortic aneurysm. Am J Surg109:560-565, 1965.
4.
De Laurentis DA, Sola LE, Russell E., McCombs PR: A twelve year old experience with axillofemoral and femorofemoral bypass operations . Surg Gynec Obstet147:881-887, 1978.
5.
Golman ML, Philip PK, Sanafizacdeh M., et al: Bucrylate embolization: An adjunct to nonresective treatment of abdominal aortic aneurysm. Presented 27th Annual Meeting Association of University Radiologists, Rochester, N.Y., May, 1979. To be published in Invest Radiol.
6.
Leather RP, Shak D., Golman ML, Karmody AM: Nonresective treatment of abdominal aortic aneurysms by acute and axillofemoral bypass. Presented Annual Meeting Internal Cardiovascular Society, Nashville, Tenn, June, 1979 . To be published in Arch Surg.
7.
LoGerfo FW, Johnson WC, Corson JD, et al: A comparison of the late patency rates of axillo-bilateral femoral and axillounilateral femoral grafts. Surgery81:33-40, 1977.
8.
Lowry SF, Kraft RO: Isolated aneurysms of the iliac artery. Arch Surg113:2189-2293, 1978.
9.
Moore WS, Hall AD, Blaisdell FW: Late results of axillary femoral bypass grafting. Am J Surg122:148-154, 1971.
10.
Ray LI, O'Connor JB, Davis CC, et al: Axillofemoral bypass: A critical reappraisal of its role in the management of aortoiliac occlusive disease. Am J Surg138:117-128, 1979.
11.
Silver D., Anderson EE, Porter JM: Isolated hypogastric artery aneurysms. Arch Surg95:308-312, 1967.
