Aneurismas de arteria iliaca: Actualización y algoritmos de decisión

Isolated iliac artery aneurysms constitute a special case, not only for being extremely rare, 0.4% to 1.9% of all aneurysmal diseases, but also as their repair is more challenging, compared to that of abdominal aortic aneurysm, especially if the internal iliac artery is involved. The onset of endovascular techniques, with decreased morbidity and mortality, has led to a paradigm shift, replacing open surgical repair as the primary means of treatment. Furthermore, preserving internal iliac artery has become a critical issue, leading to newer endovascular techniques being used, such as bell-bottom technique, sandwich technique, the use of iliac branch devices, etc. The aim of this article is to update the management and treatment of iliac artery aneurysms in order to clearly demonstrate, using algorithms, the variety of open and endovascular surgical options.