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Successful Management of Spontaneous Iliac Vein Rupture With Coil Embolization: A Case Report
Yoshihiro Aoki1, Takanobu Otaguro2, Takeshi Hayashida3
1Coordination Office for Emergency Medicine and International Response, Acute and Critical Care Center, Nagasaki University Hospital, Nagasaki, Japan.
Vascular and Endovascular Surgery
|June 20, 2025
Summary
Spontaneous iliac vein rupture is a rare, life-threatening condition. Coil embolization offers an effective, minimally invasive treatment option, especially for patients unsuitable for surgery.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Emergency Medicine
Background:
- Spontaneous iliac vein rupture is a rare but critical condition.
- It is frequently linked to deep vein thrombosis (DVT).
- Optimal management strategies remain debated, with surgical and endovascular options available.
Purpose of the Study:
- To present a case of spontaneous iliac vein rupture.
- To evaluate the efficacy of coil embolization in managing this condition.
- To highlight a minimally invasive approach for hemodynamically unstable patients.
Main Methods:
- A case report of a 74-year-old woman with spontaneous iliac vein rupture.
- Diagnosis confirmed via imaging revealing a retroperitoneal hematoma and active bleeding.
- Treatment involved successful coil embolization for hemostasis and subsequent anticoagulation for DVT.
Main Results:
- Coil embolization achieved successful hemostasis in a patient with spontaneous iliac vein rupture.
- The minimally invasive approach was effective in managing active bleeding.
- The patient received anticoagulation for concurrent deep vein thrombosis.
Conclusions:
- Coil embolization is a viable and effective minimally invasive treatment for spontaneous iliac vein rupture.
- This endovascular technique is particularly beneficial for patients who are poor surgical candidates.
- The case supports coil embolization as a crucial intervention in managing this rare vascular emergency.
Keywords:
coil embolizationdeep vein thrombosisdiagnostic angiographyendovascular treatmentretroperitoneal hematomaspontaneous iliac vein ruptureMore Related Videos
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