To summarize the experiences of endovascular treatment for iliac artery aneurysms (IAA) .

The clinical data of six patients who underwent endovascular stent-grafts placement in Department of Interventional Radiology, The First Affiliate Hospital of Guangxi University of Chinese Medicine from Augest 2013 to December 2016 were retrospectively analyzed.

All procedures were successfully completed. No aneurysm rupture or death occurred during operation. Aortography carried out immediately after the procedure showed that the IAA was completely excluded by stent-grafts and there was no serious endoleak both on proximal or distal connections. One case showed gluteal claudication, which was improved after conservative treatment, one case complained perineal pain, which was relieved after analgesic therapy and one case had intra-stent thrombosis after endovascular repair, which was recanalized using catheter-directed thrombolysis. All patients were followed up for an average of 12 months (3 to 24 months) by computed tomography angiography, without aneurysms enlargement, stent-grafts migration, or endoleak observed.

Endovascular exclusion is effective for IAA. The short-term results are satisfactory but the long-term patency needs follow-up.