PMC8590276_01
computerized tomography (CT) scan showing an isolated aneurysm of the left common iliac artery
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F1
A CT scan confirmed the same diagnosis (Figure 1).
perioperative angiography showing the deployment of an Amplatzer vascular plug at the origin of the left hypogastric artery (red arrow)
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F2
After a selective catheterization of the left internal iliac artery, we deployed an 8-mm-diameter x 7-mm-long nitinol-based Amplatzer Vascular Plug (AGA Medical Corp, Golden Valley, Minn) on the origin of this artery (Figure 2).
perioperative angiography showing the total occlusion of the left hypogastric artery (blue arrow) and the aneurysm of the common iliac artery (red arrow)
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F3
First angiographic control showed the total occlusion of the hypogastric artery (Figure 3).
perioperative angiography showing the deployment of the fluency stent (red arrows) and the presence of the Amplatzer vascular plug outside (blue arrow)
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F4
We then deployed a 13.5-mm-diameter, 80-mm-long self-expanding covered stent (Fluency; Bard Peripheral Vascular) (Figure 4).
final angiography showing the total exclusion of the aneurysm (red arrows) total occlusion of the left hypogastric artery (blue arrow)
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F5
Final angiogram showed the exclusion of the aneurysm with patency of the iliac conduit (Figure 5).