The emergency treatment of iliac artery rupture in the process of iliac artery angioplasty
10.3760/cma.j.issn.1007-631X.2013.09.003
- VernacularTitle:髂动脉成形术中发生髂动脉破裂的处理
- Author:
Zhiwei WANG
;
Jiaxiang WANG
;
Sheng GUAN
;
Xiuxian MA
;
Zhen LI
- Publication Type:Journal Article
- Keywords:
Intraoperative complications;
Stents;
Iliac artery
- From:
Chinese Journal of General Surgery
2013;28(9):658-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate covered stent placement in the treatment of iliac artery rupture in the process of iliac artery angioplasty.Methods Clinical data of 9 patients' iliac artery rupture in the process of iliac artery angioplasty were retrospectively reviewed.Results Covered stent was successfully placed in all cases.The patency of involved iliac artery was identified in 8 cases by angiography and there was no contrast extravasation.Type Ⅰ endoleak occurred in one patient in the proximal end of the stent graft and iliac artery graft replacement was done by open surgery immediately.Postoperatively clinical symptoms were relieved in all these 9 patients.One case lost to follow up.8 patients were followed up for 14 to 45 months,average (22 ±9) months.Stenosis on the distal end of the covered stent (external iliac artery)was found in one patient who underwent external iliac artery balloon-expandable stent angioplasty.One patient with artificial vessel placement was symptoms free with patency of the involved artery as reviewed by ultrasonography on 18 month followed up.Conclusions When iliac artery rupture in the process of iliac artery angioplasty should develop,the first choice is immediately covered stent placement therapy,while open surgery remains as the last resort.
