Repairing an iliac artery aneurysm requires surgery to install a tubular graft into the artery, according to University of Virginia. This surgery can often use minimally invasive techniques using small incisions in the groin area to install the graft, but it sometimes requires open surgery with a larger incision.
Surgical repair is the treatment option of last resort for an iliac artery aneurysm, University of Virginia says. Less severe cases use less invasive and less dangerous treatment options. These include lifestyle changes, such as changes in diet, to lower cholesterol and blood pressure levels. Medication may also be used to control blood pressure. Keeping the aneurysm small and keeping it from bursting are both aided by lower blood pressure.
An iliac artery aneurysm is a bulge in the wall of the iliac artery in the pelvic region, according to University of Virginia. It results from a weakening of the artery wall so that the blood pressure in the artery causes it to inflate like a balloon. This bulge can burst, leading to very dangerous internal bleeding. The condition is caused by trauma to the region from surgery, an infection or hardening of the arteries. The people most at risk of an iliac artery aneurysm include smokers, men and people over 60 years old.