In situ laser fenestration with coil embolization of expanding internal iliac artery aneurysm following previous stent graft coverage

Journal of Vascular Surgery Cases and Innovative Techniques 2026 Open access

Read full text
Authors: Crista E. Horton, Jake D. Forman, Luc Lanteigne, Samantha Moore, Ahmed K. Ghamraoui, John J. Ricotta, Joseph J. Ricotta, Joseph J. Ricotta, Joseph J. Ricotta
DOI: 10.1016/j.jvscit.2026.102162
Cited by: 0
References: 9

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.

Fields of Study & Subjects

Aortic aneurysm repair treatments Aortic Disease and Treatment Approaches Abdominal vascular conditions and treatments

Publication details

Journal / source
Journal of Vascular Surgery Cases and Innovative Techniques
Volume
12
Issue
3
Pages
102162–102162
Publication date
27 January 2026
Language
EN