Ruptured Iliac Artery Aneurysms

in Aortic Aneurysmal Disease

Applied

Type

Modification

Confidence

74%

Created

Apr 28, 2026

Evidence

0 sources

Rationale

Visible freshness audit found Rutherford 2018 in Ruptured Iliac Artery Aneurysms. Draft replaces rutherford 2018 rutherford with ESVS because the surrounding claim is about iliac aneurysm repair strategy and should be reviewed against current aneurysm guideline support rather than Rutherford 2018. Human approval is required before publication.

Content Changes

* Ruptured iliac artery aneurysms (IAA) are uncommon; many coexist with abdominal aortic aneurysm (AAA) and are treated within an aorto-iliac repair strategy. Postoperative outcomes are significantly worse for patients undergoing repair of ruptured versus unruptured IAA [@laloo2022].
* Endovascular aneurysm repair (EVAR) is preferred when anatomy allows, with hypogastric preservation via iliac branch devices if feasible; internal iliac embolization may be necessary but increases risk of buttock claudication and pelvic ischemia [@rutherford2018-rutherford].[@esvs2024].
* Open repair remains important when endovascular seal or access is not possible or in the presence of infection. Current guidelines recommend a threshold of ≥3.5 cm for elective repair of isolated common iliac artery aneurysms (CIAA) [@svs2018] [@aha2022] [@esvs2024].

Reviewer Notes

Approved by Gustav via chat for Tal AAA freshness pass: conservative visible freshness cleanup; exact claims still visible for editorial traceability.

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