{Reference Type}: Case Reports
{Title}: Endovascular repair of an infected ruptured isolated iliac artery aneurysm combined with congenital lymphedema: report of a case.
{Author}: Zhang F;Zhang C;Feng Y;Luo X;Hu L;Liang G;Zhang H;Niu L;
{Journal}: Surg Innov
{Volume}: 20
{Issue}: 6
{Year}: Dec 2013
{Factor}: 1.785
{DOI}: 10.1177/1553350612438415
{Abstract}: <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.