{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:50:13Z","timestamp":1780591813087,"version":"3.54.1"},"reference-count":8,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Iliac artery aneurysms (IAA) associated with\u2009abdominal aortic aneurysms\u2009(AAA) are found in 10%\u201320% of AAAs. Isolated internal iliac artery aneurysms (IIAAs) are an uncommon entity, representing 0.3%\u20130.5% of all intra-abdominal aneurysms, incidentally discovered or late diagnosed with frank rupture. Despite the high mortality, shared and standardized guidelines on treatment management of IIAAs are currently lacking. We report the case of an 82-year-old male diagnosed and managed in our institution for a left internal iliac artery aneurysm excluded after aorto-bisiliac prosthesis surgery. After an initial endovascular attempt, the procedure was converted to a direct transabdominal puncture approach. Post-procedural evaluation demonstrated a clinical success without evidence of aneurismal sac filling and stable aneurysmal sac volume. The viability of transabdominal sac puncture, especially in cases with complex anatomy or when traditional access methods are inadequate, represents a promising alternative, particularly in poor candidates to conventional iliac surgery.<\/jats:p>","DOI":"10.1177\/11297298241305724","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T01:22:06Z","timestamp":1733966526000},"page":"2116-2121","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Transabdominal sac puncture: A straightforward access to an excluded iliac artery aneurysm"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2579-2022","authenticated-orcid":false,"given":"Gaetano Valerio Davide","family":"Amato","sequence":"first","affiliation":[{"name":"Postgraduate School of Radiology, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierpaolo","family":"Biondetti","sequence":"additional","affiliation":[{"name":"Radiology Department, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Maria","family":"Cacioppa","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Department of Radiological Sciences, University Politecnica Delle Marche, Ancona, Italy"},{"name":"Division of Interventional Radiology, Department of Clinical, Special and Dental Sciences, University Politecnica Delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PierLuca","family":"Torcia","sequence":"additional","affiliation":[{"name":"Radiology Department, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpaolo","family":"Carrafiello","sequence":"additional","affiliation":[{"name":"Radiology Department, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2023.101313"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.11.002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-023-03629-1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.07.051"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2018.04.002"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1708538116663992"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.22.28712"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2023.10.005"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241305724","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241305724","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241305724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:25:49Z","timestamp":1777692349000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241305724"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,11]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/11297298241305724"],"URL":"https:\/\/doi.org\/10.1177\/11297298241305724","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,11]]}}}