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.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
64 year old female with severe short distance claudication limiting the patients ability to work
Percutaneous bypass graft for severe critical limb ischemia