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KMID : 0904020110270030120
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Journal of Korean Society for Vascular Surgery
2011 Volume.27 No. 3 p.120 ~ p.124
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Endovascular Treatment of an Internal Iliac Artery Aneurysm Using Amplatzer Vascular Plug: 2 Case Reports
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Hwang Hong-Pil
Yang Jae-Do
Jeong Ji-Hyeon
Han Young-Min
Yu Hee-Chul
Cho Baik-Hwan
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Abstract
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To report endovascular occlusion of an internal iliac artery aneurysm (IIAA) of two patients using Amplatzer vascular plug (AVP; AGA Medical Corporation, USA). A 69-year-old asymptomatic man had aneurysms of both internal iliac arteries. The size of the right (Rt) IIAA was 23 mm and that of the left (Lt) IIAA was 45 mm. We decided to induce vascular occlusion of the Lt internal iliac artery (IIA). We deployed an AVP in the proximal and distal Lt IIA. The patient was discharged after four days and showed no recurrence of aneurysm for one year. A 78-year-old women had lower abdominal pain for three days. Computed tomography scan showed a 43 mm Rt common iliac artery (CIA) aneurysm and a 38 mm Rt IIAA. We decided to insert a stent graft in the Rt CIA and to occlude the Rt IIA using AVP. We deployed the stent graft in the Rt CIA and the AVP in the distal Rt IIA. The patient was discharged after seven days and demonstrated no recurrence of aneurysm for four months. AVP is a feasible vascular occlusive device for internal iliac artery aneurysm.
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KEYWORD
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Amplatzer vascular plug, Endovascular treatment, Internal iliac artery aneurysm
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