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Case Reports
. 2022 Aug 24;8(5):2107-2112.
doi: 10.3390/tomography8050177.

Embolization of Large Internal Iliac Artery Pseudoaneurysm through a Retrograde Trans-Superior Gluteal Arterial Access

Mohammad Ghasemi-Rad  1 , Harshna V Vadvala  2 , Christie M Lincoln  1 , Zubin Irani  3
Affiliations
Case Reports

Embolization of Large Internal Iliac Artery Pseudoaneurysm through a Retrograde Trans-Superior Gluteal Arterial Access

Mohammad Ghasemi-Rad et al. Tomography. .

Abstract

The presence of osteal stenosis/occlusion or osteal exclusion by prior interventions poses a challenge to selective catheterization of the internal iliac artery. We describe a case where a retrograde access through the superior gluteal artery (SGA) was used to successfully treat an internal iliac artery pseudoaneurysm (PSA) in a patient when an antegrade catheterization was not feasible due to internal iliac osteal exclusion by an endograft.

Keywords: access; internal iliac; pseudoaneurysm; retrograde; superior gluteal artery.

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Conflict of interest statement

All authors declare that they do not have any relevant disclosures for this report.

Figures

Figure 1
Figure 1
Coronal CTA with contrast demonstrating a PSA (black arrow) arising from the left internal iliac artery.
Figure 2
Figure 2
Color Doppler and gray-scale ultrasound of the gluteal region demonstrating patent superior gluteal artery that was accessed under ultrasound guidance (*).
Figure 3
Figure 3
(A). Initial angiogram demonstrated a large PSA arising from the left internal iliac artery. (B). Post-coil embolization angiogram demonstrated non-opacification of the aneurysm.
Figure 4
Figure 4
Post-embolization follow-up coronal CTA with contrast demonstrated complete closure of the pseudoaneurysm.
See this image and copyright information in PMC

References

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