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Management of Iatrogenic External Iliac Artery Perforation With a Self-Made Covered Stent
Varun Marimuthu1, Subramani Khamitkar Shankar Rao1, Santosh Jadhav1
1Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IND.
Abstract:
Retroperitoneal hemorrhage (RPH) following transfemoral arterial access is a dreaded complication needing immediate management. A 70-year-old female with inferior wall myocardial infarction developed hemodynamic instability following transfemoral percutaneous coronary intervention. The evaluation revealed an RPH due to an iatrogenic guidewire-related perforation of the external iliac artery. This was successfully managed with the deployment of a custom, a self-made covered stent. In this report, we describe our method of creating and deploying this self-made stent and discuss potential issues compared to commercially available covered stent systems.

