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Updated: Mar 23, 2026

The Intra-Aortic Balloon Pump
Published on: February 5, 2021
Simultaneous External Iliac Artery and Vein Rupture Following Percutaneous Balloon Angioplasty
1Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Insights
A rare complication of external iliac artery and vein rupture occurred during percutaneous transluminal coronary angioplasty (PTCA). Despite surgical repair, the patient experienced multi-organ failure and died.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Complications
Background:
- A 73-year-old female patient with a history of coronary artery bypass grafting presented with right lower extremity claudication.
- Angiography identified significant stenosis in the right external iliac artery, indicating peripheral artery disease.
Abstract:
A 73-year-old woman who had undergone coronary artery bypass grafting for coronary artery stenosis six years ago, presented with right lower extremity claudication. Angiography revealed right external artery stenosis. Elective external iliac PTCA was performed complicated with simultaneous external iliac artery and vein rupture that was an exceedingly rare event. Retroperitoneal laparotomy with repair of ruptures took done, but the patient died with post-operative multi-organ failure.
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