title: Iliac artery rupture during balloon dilatation: what treatment?
abstract: Intraoperative and postoperative arterial ruptures associated with 657 iliac artery balloon dilatation procedures in our department from 1981 to 2000 were prospectively collected and retrospectively analyzed. Our results showed that failure to exercise basic safety principles and the presence of heavily calcified plaque are the major predictors of iliac artery rupture during balloon dilatation. If rupture is contained, surveillance alone is unreliable. Optimal treatment requires temporary hemostasis by balloon tamponade followed by placement of a covered stent to occlude the opening.
authors.affiliation: Service de Chirurgie Vasculaire, Hôpital henri Mondor, Creteil, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Allaire
authors.forename: Didier
authors.initials: D
authors.lastname: Melliere
authors.forename: Bertrand
authors.initials: B
authors.lastname: Poussier
authors.forename: Hishom
authors.initials: H
authors.lastname: Kobeiter
authors.forename: Pascal
authors.initials: P
authors.lastname: Desgranges
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Becquemin
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012421:Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*