Covered Endovascular Reconstruction of Ιnternal Ιliac Bifurcation (CERIΙB)

Purpose: The aim is to present a case of bilateral internal iliac artery aneurysms (IIAAs) endovascular repair without proper distal landing zone using an off the shelf technique of Covered Endovascular Reconstruction of Internal Iliac Bifurcation (CERIIB). Technique: A 67- year-old male had a known history of open surgical repair of an infrarenal AAA 12 years ago. During follow up, computed tomography angiography (CTA) revealed bilateral internal iliac artery aneurysms (30 mm of diameter). We used a technique deploying firstly a balloon expandable covered stent (BXCS) in the proximal part of the IIA, and then two parallel BXCS in the two main outflow branches of each IIA. In the left side additional a kissing stent technique was undertaken (BXCS in external and a balloon into the IIA). The postoperative course of the patient was uneventful and was he discharged at second post-operative day, while the first-month CTA demonstrated optimal outcome.