Acute iliac artery rupture: endovascular treatment.
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.
Chatziioannou
A
A
Radiology Department, Areteion Hospital, University of Athens, Athens, Greece.
Mourikis
D
D
Katsimilis
J
J
Skiadas
V
V
Koutoulidis
V
V
Katsenis
K
K
Vlahos
L
L
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000150:complications* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000009:adverse effects; D005500:Follow-Up Studies; D006115:Greece; D006801:Humans; D007049:Iatrogenic Disease; D017543:Iliac Aneurysm / Q000150:complications* / Q000601:surgery; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents; D016896:Treatment Outcome