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Cardiovasc Intervent Radiol ; 30(2): 281-5, 2007.
Article in English | MEDLINE | ID: mdl-16897264

ABSTRACT

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.


Subject(s)
Aneurysm, Infected/complications , Aneurysm, Ruptured/etiology , Blood Vessel Prosthesis Implantation , Iliac Aneurysm/complications , Iliac Artery/injuries , Iliac Artery/surgery , Acute Disease , Aged , Aged, 80 and over , Aneurysm, Infected/surgery , Aneurysm, Ruptured/surgery , Angioplasty, Balloon/adverse effects , Arterial Occlusive Diseases/therapy , Blood Vessel Prosthesis Implantation/instrumentation , Cardiac Catheterization/adverse effects , Follow-Up Studies , Greece , Humans , Iatrogenic Disease , Iliac Aneurysm/surgery , Male , Middle Aged , Reoperation , Stents , Treatment Outcome
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