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Angiología
versão On-line ISSN 1695-2987versão impressa ISSN 0003-3170
Resumo
ARIZAGA-IDROVO, Valeria et al. Posterior percutaneous superior gluteal artery catheterization for internal iliac artery aneurysm treatment. Angiología [online]. 2022, vol.74, n.6, pp.309-312. Epub 23-Jan-2023. ISSN 1695-2987. https://dx.doi.org/10.20960/angiologia.00420.
Introduction:
currently, internal iliac artery aneurysms are generally treated with endovascular techniques, in patients with previous interventions it can be particularly challenging to treat these lesions due to lack of a patent “classical” access site.
Case report:
we report a case of an 80-year-old man with a growing right internal iliac aneurysm, in which a percutaneous antegrade access through the iliac artery or a retrograde access to the femoral artery were impossible due to previous interventions, that was managed with trans catheter coil embolization with a percutaneous puncture to the superior gluteal artery.
Discussion:
when classical endovascular approaches to the intern iliac artery are absent, the transgluteal puncture is a simple and replicable technique, offering an alternative in challenging scenarios.
Palavras-chave : Gluteal artery; Transcatheter coil embolization; Posterior percutaneous access; Internal iliac artery aneurysm.