Acute iliac artery rupture: endovascular treatment

Cardiovasc Intervent Radiol. 2007 Mar-Apr;30(2):281-5. doi: 10.1007/s00270-005-0357-9.

Abstract

The authors present 7 patients who suffered iliac artery rupture over a 2 year period. In 5 patients, the rupture was iatrogenic: 4 cases were secondary to balloon angioplasty for iliac artery stenosis and 1 occurred during coronary angioplasty. In the last 2 patients, the rupture was secondary to iliac artery mycotic aneurysm. Direct placement of a stent-graft was performed in all cases, which was dilated until extravasation was controlled. Placement of the stent-graft was successful in all the cases, without any complications. The techniques used, results, and mid-term follow-up are presented. In conclusion, endovascular placement of a stent-graft is a quick, minimally invasive, efficient, and safe method for emergency treatment of acute iliac artery rupture, with satisfactory short- and mid-term results.

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Aneurysm, Infected / complications*
  • Aneurysm, Infected / surgery
  • Aneurysm, Ruptured / etiology*
  • Aneurysm, Ruptured / surgery
  • Angioplasty, Balloon / adverse effects
  • Arterial Occlusive Diseases / therapy
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Cardiac Catheterization / adverse effects
  • Follow-Up Studies
  • Greece
  • Humans
  • Iatrogenic Disease
  • Iliac Aneurysm / complications*
  • Iliac Aneurysm / surgery
  • Iliac Artery / injuries*
  • Iliac Artery / surgery*
  • Male
  • Middle Aged
  • Reoperation
  • Stents
  • Treatment Outcome