Abstract
An adolescent male sustained a severe penetrating injury to the external iliac artery. Emergency surgical revascularization was with a reversed long saphenous vein interposition graft. The primary graft and the subsequent revision graft both became aneurysmal. The second graft aneurysm was successfully excluded by endovascular stent-grafts with medium-term primary patency. A venous graft was used initially rather than a synthetic graft to reduce the risk of infection and the potential problems from future growth. Aneurysmal dilatation of venous grafts in children and adolescents is a rare but recognized complication. To the best of our knowledge, exclusion of these aneurysms with stent-grafts has not been previously reported in the adolescent population.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Rutherford R, Baker D, Ernst E, Johnston W, Porter J, Ahn S, Jones D (1997) Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 26:517–538
Meyers RL, Lowichik A, Kraiss LW et al (2006) Aortoiliac reconstruction in infants and toddlers: replacement with decellularized branched pulmonary artery allograft. J Paediatr Sur 41:226–229
Milas Zl, Dodson TF, Ricketts RR (2004) Paediatric blunt trauma resulting in major arterial injuries. Am Sur 70:443–447
Sarker S, Salacinski H, Hamilton G et al (2006) The mechanical properties of infrainguinal vascular bypass grafts: their role in influencing patency. Eur J Vasc Endovasc Surg 31:627–636
Sternbergh W, Conners M, Ojeda M et al (2003) Acute bilateral iliac artery occlusion secondary to blunt trauma: successful endovascular treatment. J Vasc Surg 38:589–592
White R, Krajcer Z, Johnson M (2006) Results of a multicentre trial for the treatment of traumatic vascular injury with a covered stent. J Trauma 60:1189–1196
Takeuchi S, Abe H, Tanaka R et al (1998) Aneurysm of a subclavian-vertebral artery saphenous vein bypass graft: case report. Neurosurgery 43:1212–1214
Berkowitz HD, O’Neill JA (1989) Renovascular hypertension in children. Surgical repair with special reference to the use of reinforced vein grafts. J Vasc Surg 9:46–55
Cardneau JD, Henke PK, Upchurch G et al (2001) Efficacy and durability of autogenous saphenous vein conduits for lower extremity arterial reconstructions in preadolescent children. J Vasc Surg 34:34–39
Park S, Won J, Kim et al (2005) The arterial folding point during flexion of the hip joint. CardioVasc Interv Radiol 28:173–175
Schep G, Kaandorp D, Bender M et al (2001) Magnetic resonance angiography used to detect kinking in the iliac arteries in endurance athletes with claudication. Physiol Meas 22:475–487
Peer UM, Upson JF (1990) Aneurysmal dilatation in saphenous vein bypass grafts. J Cardiovasc Surg 31:668–671
Powel R, Rzucidlo E, Schermerhorn M (2003) Stent-graft treatment of a large internal carotid artery vein graft aneurysm. J Vasc Surg 37:1310–1313
Gretener S, Do D, Baumgartner I et al (2002) Endovascular aneurysm exclusion along a femorodistal venous bypass graft in active Behcet’s disease. J Endovasc Ther 9:694–698
WL Gore and Associates, Inc (2003) Product information. July 2003
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lenton, J., Davies, J., Homer-Vanniasinkam, S. et al. Adolescent External Iliac Artery Trauma: Recurrent Aneurysmal Dilatation of an Iliofemoral Saphenous Vein Graft Treated by Stent-Grafting. Cardiovasc Intervent Radiol 31, 1018–1022 (2008). https://doi.org/10.1007/s00270-008-9313-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-008-9313-9