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.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
Renal vein stent placed for Nutracker Syndrome was placed too far into the IVC and causing pain. Stent was partially removed.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.