%0 Case Reports
%T Endovascular repair of an infected ruptured isolated iliac artery aneurysm combined with congenital lymphedema: report of a case.
%A Zhang F
%A Zhang C
%A Feng Y
%A Luo X
%A Hu L
%A Liang G
%A Zhang H
%A Niu L
%J Surg Innov
%V 20
%N 6
%D Dec 2013
%M 22549906
%F 1.785
%R 10.1177/1553350612438415
%X <B>OBJECTIVE: </B>A novel technique using the reversed iliac leg of a Zenith device has been reported. This study reports a complicated isolated iliac artery aneurysm (IIAA) using this novel technique and reviews the relative literature to discuss current treatment modalities.<BR><B>METHODS: </B>A 46-year-old man presented with a mass in the left lower quadrant accompanied by abdominal pain for 60 days. Computer tomography angiography (CTA) revealed a complicated IIAA and a massive retroperitoneal hematoma. Percutaneous puncture and drainage at the hematoma was done. Enterococcus faecium was isolated from the hematoma. The infection was controlled after 2 weeks of drainage and anti-infection treatment. The IIAAs were successfully excluded using the novel technique. The 12-month CTA follow-up was unremarkable.<BR><B>CONCLUSIONS: </B>Using inverted Zenith device legs is safe and effective even in complicated IIAAs. Further studies are warranted before it can become a widely acceptable definitive treatment option.