Endovascular Repair of Iliac Artery Aneurysms: A Single Center Experience in 10-Years

  • Onur Selcuk Goksel Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Emre Gok Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Mehmet Akif Onalan Cardiovascular Surgery Department, Mehmet Akif Inan Education And Research Hospital, Sanliurfa, Turkey
  • Koray Güven Radiology Department, Faculty of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
  • Gazi Capar Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • Bayer Cinar Cardiovascular Surgery Department, Altınbaş University, Istanbul, Turkey
  • Ibrahim Ufuk Alpagut Cardiovascular Surgery Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey


Objectives: Isolated iliac artery aneurysms (IAAs) are rare, but nonetheless life-threatening when ruptured. The endovascular approach has taken over open repairs in time. The reported data is constituted of a retrospective series. We reviewed our 10-year-long experience with elective endovascular treatment of iliac aneurysms.

Methods: Data regarding 22 patients with 24 IAAs treated with endovascular stent grafting between 2005 and 2015 were reviewed.

Results: Twenty-two patients (aged 68.4 ± 9.6 years, range 50-82) with 24 unilateral or bilateral iliac aneurysms were treated. Twenty patients (91%) were male. Two patients with unilateral IAA had prior abdominal aortic aneurysm (AAA) surgical repair. The mean aneurysm diameter was 4.8 ± 2.1 (3.8 to 7.1) mm. Procedural success rate was 100%, only one patient with an iliovenous fistula had periprocedural type II endoleak. Internal iliac artery coil occlusion was applied in 16 of 24 procedures (66%). Thirty-day mortality included one patient (4%).

Conclusion: Endovascular repair is the preferred approach for isolated IAAs. Because of the retrospective nature of data sets, larger cohorts are necessary for better definition of morbidity and mortality rates.


Boules TN, Selzer F, Stanziale SF, et al. 2006. Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 44:29-37.

Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE. 1989. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg 10:381-4.

Buck DB, Bensley RP, Darling J, et al. 2015. The effect of endovascular treatment on isolated iliac artery aneurysm treatment and mortality. J Vasc Surg 62:331-5.

Chaer RA, Barbato JE, Lin SC, Zenati M, Kent KC, McKinsey JF. 2008. Isolated iliac artery aneurysms: a contemporary comparison of endovascular and open repair. J Vasc Surg 47:708-13.

Giles KA, Pomposelli F, Hamdan A, Wyers M, Jhaveri A, Schermerhorn ML. 2009. Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair. J Vasc Surg 49:543-50; discussion and invited commentary 550-1.

Huang Y, Gloviczki P, Duncan AA, et al. 2008. Common iliac artery aneurysm: expansion rate and results of open surgical and endovascular repair. J Vasc Surg 47:1203-1211.e2.

Katz DJ, Stanley JC, Zelenock GB. 1994. Operative mortality rates for intact and ruptured abdominal aortic aneurysms in Michigan: an eleven-year statewide experience. J Vasc Surg 19:804-15; discussion 816-7.

Krupski WC, Selzman CH, Floridia R, Strecker PK, Nehler MR, Whitehill TA. 1998. Contemporary management of isolated iliac aneurysms. J Vasc Surg 28:1-11; discussion 11-3.

Levi N, Schroeder TV. 1998. Isolated iliac artery aneurysms. Eur J Vasc Endovasc Surg 16:342-4.

McCready RA, Pairolero PC, Gilmore JC, Kazimer FJ, Cherry KJ Jr, Hollier LH. 1983. Isolated iliac artery aneurysms. Surgery 93:688-93.

Patel NV, Long GW, Cheema ZF, Rimar K, Brown OW, Shanley CJ. 2009. Open vs. endovascular repair of isolated iliac artery aneurysms: a 12-year experience. J Vasc Surg 49:1147-53.

Pitoulias GA, Donas KP, Schulte S, Horsch S, Papadimitriou DK. 2007. Isolated iliac artery aneurysms: endovascular versus open elective repair. J Vasc Surg 46:648-54.

Richardson JW, Greenfield LJ. 1988. Natural history and management of iliac aneurysms. J Vasc Surg 8:165-71.

Santilli SM, Wernsing SE, Lee ES. 2000. Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg 31(1 Pt 1):114-21.