Objective:

To review the long-term results of endovascular exclusion of mycotic aneurysms (MA) located in iliac arteries and present a case performed in our service.

Methods:

A systematic review of the literature was performed using the search terms: endovascular repair of mycotic iliac artery aneurysm, in the PubMed and ScienceDirect databases published between January 1998 and December 2019.

Results:

This is a rare pathology and only 7 articles were found related to endovascular treatment of MA located in the iliac artery. All cases were carried out with technical success. The reports of patency of the coated stents used to exclude MA, are usually found above 95% and the mortality cases presented were related to the underlying pathologies and not related to the endovascular device. Only one systematic review was found comparing open vs endovascular treatment for intra-abdominal AM, concluding that endovascular treatment is associated with greater short-term survival and presents a lower rate of complications. However, it must be considered that the treatment of this pathology must be individualized to the conditions of each patient.

Conclusion:

We consider that the endovascular exclusion of an MA located in the iliac artery is a viable option in patients with multiple comorbidities who have a high probability of complications if they undergo open surgery.