We report a case of a life-threatening internal iliac artery aneurysm rupture managed successfully with an on-table reversed flared iliac limb stentgraft and embolization. This easily off-the-shelf reproducible technique avoids using a more complex and expensive bifurcated aorto-iliac graft and could be a good solution in emergency situation where a custom graft is not available.
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BairdDLHManiKSabharwalT. Endovascular treatment of isolated iliac artery aneurysms using a custom-made stent graft with proximal barb fixation: early outcome. Vascular2013; 21(2): 92–96.
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CheongSKVarcoeRL. A tapered contralateral Endurant stent graft limb, deployed “'up-and-over”' to treat a symptomatic internal iliac aneurysm. Vasc Endovascular Surg2010; 44(6): 475–478.