Endovascular treatment for iatrogenic rupture of an iliac artery with severe tortuosity

Retroperitoneal hemorrhage due to iatrogenic rupture of the iliac artery is a life-threatening complication associated with endovascular intervention. We present a case of iatrogenic iliac rupture after insertion of a sheath into a severely tortuous iliac artery during coil embolization of a cerebra...

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Detalles Bibliográficos
Autores principales: Koide, Masahiro, Fukui, Kento, Sogabe, Koji, Kitada, Tatsuya, Kogure, Masaya, Kato, Yukinori, Kitajima, Hiroki, Akabame, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Interventional Radiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327426/
https://www.ncbi.nlm.nih.gov/pubmed/32636971
http://dx.doi.org/10.1016/j.radcr.2020.06.011
Descripción
Sumario:Retroperitoneal hemorrhage due to iatrogenic rupture of the iliac artery is a life-threatening complication associated with endovascular intervention. We present a case of iatrogenic iliac rupture after insertion of a sheath into a severely tortuous iliac artery during coil embolization of a cerebral aneurysm. Bleeding was controlled by resuscitative endovascular balloon occlusion of the aorta followed by placement of a balloon-expandable stent graft into the iliac artery. This resulted in complete repair of the ruptured iliac artery. The patient recovered without any neurological complications.

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