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SUCCESSFUL URGENT ENDOVASCULAR TREATMENT OF IATROGENIC POST-ANGIOPLASTY RUPTURE OF COMMON AND EXTERNAL ILIAC ARTERY
Dražen Perkov1,2, Nino Tičinović1, Ivana Jurca1
1University Hospital Center Zagreb, Department of diagnostic and interventional radiology, Kišpatićeva 12, 10000 Zagreb, Croatia.
Acta Clinica Croatica
|July 2, 2025
Summary
Iatrogenic iliac artery rupture during angioplasty is a rare but serious complication. This case successfully managed simultaneous common and external iliac artery rupture using stent grafts.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Iatrogenic peripheral artery injuries are increasing with endovascular interventions.
- Iliac artery rupture during percutaneous transluminal angioplasty is a potentially fatal complication.
Observation:
- A patient sustained simultaneous iatrogenic rupture of the right common and external iliac arteries.
- This resulted in a life-threatening retroperitoneal hemorrhage.
Findings:
- Successful treatment of simultaneous iliac artery rupture was achieved.
- Three balloon-expandable stent grafts were used to seal the arterial tears.
Implications:
- Stent grafts offer a viable solution for managing complex iatrogenic iliac artery injuries.
- This case highlights the importance of prompt and effective intervention for arterial rupture during endovascular procedures.
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