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.
62 year old female with 2 months of short distance claudication and rest pain at night
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.