Endovascular management of massive iliac artery aneurysms with compressive venous outflow obstruction

Iliac artery aneurysms (IAAs) represent a small percentage of intra-abdominal aneurysms but pose a significant risk for progression and possible rupture. IAA repair has traditionally been achieved through open intervention, although endovascular repair has shown good successes. Endovascular repair of IAAs with concomitant venous outflow obstruction is poorly described. We present two IAAs with venous obstruction managed via endovascular repair and subsequent venous stenting.