Abstract
The standard surgical approach to nonleaking iliac aneurysms found at repair of a leaking abdominal aortic aneurysm is to minimize the operative risk by repairing the abdominal aorta only. This means that the bypassed iliac aneurysms may have to be repaired later. As this population of patients are usually elderly with coexisting medical problems, interventional radiology is being used to embolize these aneurysms, thus avoiding the morbidity and mortality associated with further general anesthesia and surgery. Various materials and stents have been reported to be effective in the treatment of iliac aneurysms. We report the successful use of endoluminal fibrin tissue glue (Beriplast) to treat two large iliac aneurysms in a patient who had had a previous abdominal aortic aneurysm repair. We discuss the technique involved and the reasons why we used tissue glue in this patient.
Similar content being viewed by others
References
Perdue GD, Vlittenthal M, Smith RB, Salam AA (1983) Aneurysms of the internal iliac artery. Surgery 93:243–246
Kasulke RJ, Clifford A, Nichols WK, Silver D (1982) Isolated atherosclerotic aneurysms of the internal iliac arteries. Arch Surg 117:73–77
Richardson JW, Greenfield LJ (1988) Natural history and management of iliac aneurysms. J Vase Surg 8:165–171
Panayioptopoulos YP, Sandison AJP, Reidy JF, Adam A, Taylor PR (1996) Endovascular repair of residual iliac artery aneurysms following surgery for ruptured abdominal aortic aneurysm. Eur J Vase Endovasc Surg 12:482–486
Rogoff PA, Stock JR (1985) Percutaneous transabdominal embolisation of an iliac artery aneurysm. AJR 145:1258–1260
Mcloughlin RF, Rankin R, McKenzie N (1997) Embolisation of iliac aneurysms following abdominal aortic aneurysm repair with a bifurcation graft. Clin Radiol 52:680–683
Goldman ML, Sarrafizadeh MS, Philip PK, Karmody AM, Leather RP, Parikh N, Powers SR (1980) Bucrylate embolization of abdominal aortic aneurysms: An adjunct to nonresective therapy. AJR 135:1195–1200
Gasrarini D, Lovaria A, Saccheri S (1997) Percutaneous treatment of iliac aneurysms and pseudoaneurysms with Cragg Endopro System I stent grafts. Cardiovasc Intervent Radiol 20:348–352
Pevec WC, Holcroft JW, Blaisdell W (1994) Ligation and extraanatomic arterial reconstruction for the treatment of aneurysms of the abdominal aorta. J Vase Surg 20:629–636
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Beese, R.C., Tomlinson, M.A. & Buckenham, T.M. Endoluminal embolization of bilateral atherosclerotic common iliac aneurysms with fibrin tissue glue (Beriplast). Cardiovasc Intervent Radiol 23, 239–241 (2000). https://doi.org/10.1007/s002700010054
Issue Date:
DOI: https://doi.org/10.1007/s002700010054