Chatziioannou A, Mourikis D, Katsimilis J, Skiadas V, Koutoulidis V, Katsenis K, Vlahos L
Radiology Department, Areteion Hospital, University of Athens, Athens, Greece.
Cardiovasc Intervent Radiol. 2007 Mar-Apr;30(2):281-5. doi: 10.1007/s00270-005-0357-9.
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.
