Percutaneous Transluminal Treatment of an Iliac Pseudoaneurysm with Endoprosthesis Implantation

Abstract

Purpose:

Evaluation of a covered stent in the treatment of an iliac pseudoaneurysm.

Material and Methods:

During PTCA, a 61-year-old man with angina pectoris was shown to have an asymptomatic pseudoaneurysm, 5×4×4 cm, of the left common iliac artery (CIA). The patient was not a candidate for surgery. The pseudoaneurysm was treated by insertion of a covered stent (8 mm/6 cm).

Results:

By 30 s after stent placement, the pseudoaneurysm was angiographically excluded. Twelve and 17 months after stent implantation, the patient had no symptoms from the lower extremities and the left CIA was open with normal flow in the stent.

Conclusion:

Our case illustrates the ability of a covered stent to exclude a pseudoaneurysm. Percutaneous intravascular stent placement in the management of iliac pseudoaneurysms might be the treatment of choice in patients with increased risk of major anesthesia and surgery.