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Iliac Aneurysm
Iliac Aneurysm
Iliac Aneurysm
Medical history
64y male
Heavy ex-smoker
Hypertension
Diabetes mellitus Type 2
Hyperlipidemia
Symptoms
Routine duplex ultrasound screening before
hip replacement surgery
Asymptomatic ACIAA
Imaging Methods
DUS
CTA Infrarenal aorta: 50x38 mm
Treatment
Operative indications of asymptomatic iliac Open Repair
aneurysms (in diameter): Aortobiiliac /bifemoral bypass
CIAA >= 35 mm Endovascular
EIAA >= 30 mm EVAR – Iliac Branch Device (IBD)
CFAA> = 25 mm
Follow-up
when?
1-6 months
imaging?
CTA>>US
what?
patency
endoleak
sac expansion