Emergency percutaneous treatment of arterial iliac axis ruptures.
The objective of this paper is to assess the feasibility and effectiveness of emergency percutaneous treatment of ruptures of the iliac axis. In 5 years, we observed 13 patients (mean age, 62.1 years), 11 with rupture of the external iliac artery and two with rupture of the common iliac artery (six traumatic and seven iatrogenic). All patients were treated with stent grafts. A follow-up was performed with a color Doppler ultrasound at 1, 3, 6, and 12 months during the first year and then yearly. Immediate technical success was obtained in all cases. During a mean follow-up of 22.3 months, one stent-graft occlusion and one infection of a retroperitoneal hematoma occurred. The primary patency rate is 92.3%. Percutaneous treatment is a feasible and safe tool for iliac axis ruptures because it can provide a fast and definitive exclusion of bleeding with a patency rate comparable to surgery and less major morbidity and mortality.
Laganà
Domenico
D
Department of Radiology, Vascular and Interventional Radiology, University of Insubria, Viale Borri, 57-21100, Varese, Italy.
Carrafiello
Gianpaolo
G
Mangini
Monica
M
Giorgianni
Andrea
A
Lumia
Domenico
D
Cuffari
Salvatore
S
Fugazzola
Carlo
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D019917:Blood Vessel Prosthesis Implantation; D004630:Emergencies; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012187:Retroperitoneal Space; D012421:Rupture; D012422:Rupture, Spontaneous; D015607:Stents; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency