Introduction: The occlusion of internal iliac artery may be necessary in Endovascular Aortic Aneurysm Repair (EVAR). The intentional hypogastric occlusion may have several ischemic complications. The Iliac Branch Devices (IBD) are an alternative to hypogastric occlusion in patients at high risk to pelvic ischemia. The authors report a case of early IBD occlusion with serious clinical consequences. Case Report: ...