Enhanced three-dimensional navigation with intraoperative positioning system in coil embolization of complex aneurysm
Abstract
A 91-year-old man with chronic kidney disease and multiple comorbidities was incidentally found to have a 5.1 cm left internal iliac artery aneurysm during back pain evaluation. To minimize contrast and radiation, intraoperative positioning system-guided repair was performed. A three-dimensional model was created via preoperative computed tomography angiography and an intraoperative cone-beam computed tomography for electromagnetic tracking. Gluteal branches were cannulated using the intraoperative positioning system and embolized with plugs and coils before deploying a modified Cook Zenith Renu endograft with balloon molding. Completion angiography confirmed exclusion, preserved perfusion, and no endoleak. At 6 weeks, the patient remained stable.
Fields of Study & Subjects
Aortic aneurysm repair treatments
Intracranial Aneurysms: Treatment and Complications
Abdominal vascular conditions and treatments
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102163–102163
- Publication date
- 28 January 2026
- Language
- EN