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.
Presentation at Charring Cross Meeting London 2015
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy