Embolization of Large Internal Iliac Artery Pseudoaneurysm through a Retrograde Trans-Superior Gluteal Arterial Access

Mohammad Ghasemi-Rad; Harshna V Vadvala; Christie M Lincoln; Zubin Irani

doi:10.3390/tomography8050177

Embolization of Large Internal Iliac Artery Pseudoaneurysm through a Retrograde Trans-Superior Gluteal Arterial Access

Tomography. 2022 Aug 24;8(5):2107-2112. doi: 10.3390/tomography8050177.

Authors

Mohammad Ghasemi-Rad¹, Harshna V Vadvala², Christie M Lincoln¹, Zubin Irani³

Affiliations

¹ Department of Radiology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.
² Department of Radiology and Radiological Science, Johns Hopkins Hospital, Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287, USA.
³ Department of Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA.

Abstract

The presence of osteal stenosis/occlusion or osteal exclusion by prior interventions poses a challenge to selective catheterization of the internal iliac artery. We describe a case where a retrograde access through the superior gluteal artery (SGA) was used to successfully treat an internal iliac artery pseudoaneurysm (PSA) in a patient when an antegrade catheterization was not feasible due to internal iliac osteal exclusion by an endograft.

Keywords: access; internal iliac; pseudoaneurysm; retrograde; superior gluteal artery.

Publication types

Case Reports

MeSH terms

Aneurysm, False* / diagnostic imaging
Aneurysm, False* / therapy
Arteries
Buttocks / blood supply
Buttocks / diagnostic imaging
Humans
Iliac Aneurysm* / diagnostic imaging
Iliac Aneurysm* / therapy
Iliac Artery / diagnostic imaging

Grants and funding

This research received no external funding.