Internal iliac artery aneurysms are rare. In most instances, they do not cause symptoms unless they rupture. Mortality after rupture is about 50%. Aneurysm under 25-30mm in size can be watched with serial imaging - typically CT. Aneurysms > 25-30mm should be treated to avoid rupture. Endovascular repair is preferred to open surgery as it is safer, faster and effective.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.
Active female with severe venous claudication 9 years after iliofemoral deep venous thrombosis.