title: Percutaneous balloon-expandable stent graft repair of a ruptured iliac aneurysm.
abstract: Elective stent graft repair of iliac aneurysm is successful and safe. There are, however, few published data on stent grafting unstable patients with acute iliac aneurysm rupture. Iliac diameter mismatch can also present a challenge to emergency endovascular treatment. We report the treatment of an unstable patient with iliac aneurysm rupture and diameter mismatch using a percutaneous balloon-expandable polytetrafluoroethylene (PTFE) stent graft. Outcomes were satisfactory up to 12-month follow-up. Treatment of iliac aneurysm rupture using a balloon-expandable stent graft can be successful in selected patients. A percutaneous approach and targeted stent graft postdilatation enable prompt repair in the presence of diameter mismatch, facilitating emergency therapy.
authors.affiliation: Department of Radiology, Middlemore Hospital, Otahuhu, Auckland, New Zealand. danielthomascookson@yahoo.co.uk
authors.forename: Daniel
authors.initials: D
authors.lastname: Cookson
authors.forename: Zahid
authors.initials: Z
authors.lastname: Raza
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D015641:Radiography, Interventional; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene