19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

The 100 Year Evolution of the Isolated Internal Iliac Artery Aneurysm.

Related Articles

The 100 Year Evolution of the Isolated Internal Iliac Artery Aneurysm.

Ann Vasc Surg. 2013 Dec 11;

Authors: Wilhelm BJ, Sakharpe A, Ibrahim G, Baccaro LM, Fisher J

INTRODUCTION: Isolated internal iliac artery aneurysms (IIIAA) are a very rare form of aneurysm. The incidence increases with age and the prevalence is higher in men. The clinical presentation can vary and standard treatment protocols are not established. The first case of an IIIAA was described over 100 years ago. The purpose of the study is to summarize the various clinical presentations and treatment options that have been reported in the literature in the last 100 years.
MATERIALS AND METHOD: Literature about isolated internal iliac artery aneurysms was reviewed using the electronic databank PubMed. All case reports and case series were analyzed and we included our own data with two case reports.
RESULTS: Over time, isolated internal iliac artery aneurysms increasingly resulted from asymptomatic incidental findings on radiologic studies. Various clinical presentations included abdominal pain, back pain, rectal bleeding, hydronephrosis with renal failure, hematuria and free rupture with shock. Rupture has a mortality rate of 53%. Isolated internal iliac artery aneurysms were more common on the left (61.8% left, 27.3% right, 10.9% bilateral). Treatments include open surgical repair and endovascular repair using a variety of methods. One article reported a hybrid method using both endovascular and open surgical technique.
CONCLUSION: Since its first description 100 years ago, we have gained knowledge about the natural history of isolated internal iliac artery aneurysms. Multiple treatment options have been described, but long term outcome needs further investigation.

PMID: 24333603 [PubMed – as supplied by publisher]

Share to care...

Share on facebook
Share on twitter
Share on pinterest
Share on google
Share on linkedin
Share on skype

What we do...

The Harley Street Hospital


What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Transforaminal Epidural

Comfortable environment – all nurses, anaesthetist, doctor made me feel at ease. Paul S. You May Also Like:L5 Nerve Root CompressionBalloon Kyphoplasty procedureDisc bulge treated

Read More »