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.
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
87 year old with severe left leg claudication limiting ability to walk more than 100 feet
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia