Rupture of the External Iliac Artery During Balloon Angioplasty: Endovascular Treatment Using a Covered Stent

Abstract

While rupture of the EIA during angioplasty usually demands open surgical correction, an endovascular procedure can provide a fast, efficient, and less aggressive method of treating this serious complication.

Covered stents for endovascular repair of iatrogenic injuries of iliac and femoral arteries

“…These results show that technical success, the primary endpoint, was achieved in all cases, independently from the type and the location of the injuries and from clinical presentation, consistently with previous evidence [10][11][12]. The high technical success obtained in patients undergoing urgent stenting or with injuries located above the groin is noteworthy, since surgical repair in this vascular district is hampered by significant time delay, retroperitoneal bleeding and high risk of perioperative complications [8,22].…”

Endovascular management of iliac rupture during endovascular aneurysm repair

“…Early reports of endovascular stent grafting for iatrogenic iliac ruptures originated from percutaneous balloon angioplasty for occlusive disease, which carries a rupture risk of one per 200 procedures. 11 Stent graft repair of these injuries has demonstrated satisfactory short-term and midterm results. 12 With the development of endoluminal treatment of aortic aneurysms, large sheaths and delivery devices that must traverse the iliac vessels introduced another mechanism for injury: traction.…”

Emergent treatment of an Iatrogenic arterial injury at femoral puncture site With Symbiot® self‐expanding PTFE‐covered coronary stent‐graft

“…6,7 In several studies, stent-graft treatment was shown to be effective in acute arterial bleeding. [8][9][10][11] Balloon-expanding stent-grafts provide accurate sizing and localization but, they are prone to collapse and to late crush deformation because of external forces; moreover, substantial flexing may lead to an additional risk of compression and kinking. 12,13 Self-expanding stent-grafts are flexible and have resistance against external forces in superficial locations such as carotid or thigh regions.…”

“…The safety and efficacy of endovascular stent‐grafts have been demonstrated in a variety of peripheral arterial pathologies, including trauma and aneurysmal disease 6,7 . In several studies, stent‐graft treatment was shown to be effective in acute arterial bleeding 8–11 . Balloon‐expanding stent‐grafts provide accurate sizing and localization but, they are prone to collapse and to late crush deformation because of external forces; moreover, substantial flexing may lead to an additional risk of compression and kinking 12,13 .…”