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Embolization of a Previously Excluded Symptomatic Internal Iliac Aneurysm Through the Iliac Vein

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Abstract

A 69-year-old man was referred urgently for a 58-mm enlarging painful right internal iliac artery (IIA) aneurysm. Since exclusion through proximal IIA coverage and distal IIA branches embolization had been previously performed, aneurysm sac puncture through the iliac vein was decided. The ipsilateral common femoral vein was antegradely punctured, and a 16.5 G Ross modified Colapinto needle from a transjugular intrahepatic access set was used to puncture the sac and fill the aneurysm with coils. Embolization of an IIA aneurysm through the iliac vein may represent an alternative when prior IIA aneurysm exclusion has been performed.

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Authors and Affiliations

  1. Department of Vascular Surgery, Ambroise Paré University Hospital, Assistance Publique—Hôpitaux de Paris (AP-HP), 9 Avenue Charles de Gaulle, Boulogne-Billancourt, 92104, Boulogne Cedex, France

    Raphaël Coscas, Pauline Fillet, Henri Lamas, Isabelle Javerliat, Olivier Goeau-Brissonniere & Marc Coggia

  2. Faculté de Médecine Paris-Ile de France-Ouest, UFR des Sciences de la Santé Simone Veil, Université Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France

    Raphaël Coscas, Pauline Fillet, Henri Lamas, Isabelle Javerliat, Olivier Goeau-Brissonniere & Marc Coggia

  3. UMR 1018, Inserm-Paris11—CESP, Versailles Saint-Quentin-en-Yvelines University, Paris-Saclay University, Paul Brousse Hospital, Villejuif, France

    Raphaël Coscas & Olivier Goeau-Brissonniere

Authors
  1. Raphaël Coscas
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  2. Pauline Fillet
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  3. Henri Lamas
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  4. Isabelle Javerliat
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  5. Olivier Goeau-Brissonniere
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  6. Marc Coggia
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Corresponding author

Correspondence to Raphaël Coscas.

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Conflict of interest

Dr. Coscas reports personal fees from Terumo Inc. and from Medtronic Inc, outside the submitted work. Other authors do not disclose any conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient included in the study.

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Coscas, R., Fillet, P., Lamas, H. et al. Embolization of a Previously Excluded Symptomatic Internal Iliac Aneurysm Through the Iliac Vein. Cardiovasc Intervent Radiol 40, 1954–1957 (2017). https://doi.org/10.1007/s00270-017-1737-7

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  • DOI: https://doi.org/10.1007/s00270-017-1737-7

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