ArticleJournal of vascular surgery cases and innovative techniques2026
In situ laser fenestration with coil embolization of expanding internal iliac artery aneurysm following previous stent graft coverage.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We treated a large internal iliac artery (IIA) aneurysm from a type II endoleak with a prior endovascular aortic aneurysm repair and complete coverage of the IIA origin. In situ laser fenestration was used to create temporary access through the iliac limb, allowing selective coil embolization of feeding vessels and the aneurysm sac. The fenestration was then sealed with an iliac stent graft extension. This case demonstrates that in situ laser fenestration can provide a safe, fully endovascular option for managing complex type II endoleaks with IIA aneurysm expansion in high-risk patients.
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