ENDOVASCULAR REPAIR OF RESIDUAL ILIAC ARTERY ANEURYSMS FOLLOWING SURGERY FOR RUPTURED ABDOMINAL AORTIC-ANEURYSM

Emergency repair of ruptured abdominal aortic aneurysm continues to ha ve a high mortality. Such patients require expeditious operations to r epair the ruptured segment rather than attempts to deal with all coexi sting disease. The use of endovascular techniques obviates the need fo r open surgery to repair iliac aneurysms. We report two patients who, after successful repair of ruptured abdominal aortic aneurysms, had th ree iliac artery aneurysms treated successfully by embolisation in one case and percutaneous insertion of a self expandable stent graft in t wo cases. The issues that arise from such an approach are discussed wi th a review of the literature.