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.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
104 year old female with worsening left foot rest pain
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy