Open AccessCommon Iliac Artery Aneurysm: Management Issues In The Era Of Endovascular Treatment
Author(s) -
M Sallehudin Che Zan,
M L Iqramie,
Ahmad Faidzal Othman
Publication year - 2016
Publication title -
international medical journal malaysia/iium medical journal malaysia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 9
eISSN - 2735-2285
pISSN - 1823-4631
DOI - 10.31436/imjm.v15i1.1229
Subject(s) - medicine , presentation (obstetrics) , aneurysm , weakness , surgery , common iliac artery , endovascular treatment , radiology , perioperative , intervention (counseling) , modalities , iliac artery , psychiatry , sociology , social science
Common iliac artery aneurysm (CIAA) is rare. It only constitutes about 2% of all abdominal aneurysms. CIAA develops silently with typical presentation of hemorrhagic shock after rupture, which carries a very high perioperative mortality. Atypical presentation includes unilateral lower limb weakness, pain and swelling. These symptoms should alert clinicians to the differential diagnosis of iliac artery aneurysm. Early detection and investigations are paramount since immediate intervention can considerably improve the outcome. We will highlight 3 cases of symptomatic common iliac artery aneurysm with different treatment modalities. The options of management, including literature review regarding open and endovascular treatment will be highlighted.