CardioVascular and Interventional Radiology

, Volume 30, Issue 2, pp 281–285 | Cite as

Acute Iliac Artery Rupture: Endovascular Treatment

  • A. Chatziioannou
  • D. Mourikis
  • J. Katsimilis
  • V. SkiadasEmail author
  • V. Koutoulidis
  • K. Katsenis
  • L. Vlahos


The authors present 7 patients who suffered iliac artery rupture over a 2 year period. In 5 patients, the rupture was iatrogenic: 4 cases were secondary to balloon angioplasty for iliac artery stenosis and 1 occurred during coronary angioplasty. In the last 2 patients, the rupture was secondary to iliac artery mycotic aneurysm. Direct placement of a stent-graft was performed in all cases, which was dilated until extravasation was controlled. Placement of the stent-graft was successful in all the cases, without any complications. The techniques used, results, and mid-term follow-up are presented. In conclusion, endovascular placement of a stent-graft is a quick, minimally invasive, efficient, and safe method for emergency treatment of acute iliac artery rupture, with satisfactory short- and mid-term results.


Angioplasty Iliac artery Interventional radiology Mycotic aneurysm Rupture Stent-graft 


  1. 1.
    Aytekin C, Boyvat F, Yildirim E, Coskun M (2002) Endovascular stent-graft placement as emergency treatment for ruptured iliac artery pseudoaneurysm. Cardiovasc Intervent Radiol 25:320–322PubMedCrossRefGoogle Scholar
  2. 2.
    Parodi JC, Schonholz C, Ferreira LM, Bergan J (1999) Endovascular stent-graft treatment of traumatic arterial lesions. Ann Vasc Surg 13:121–129PubMedCrossRefGoogle Scholar
  3. 3.
    Cormier F, Ayoubi AA, Laridon D, Melki J-P, Fichelle J-M, Cormier J-M (2000) Endovascular treatment of iliac aneurysms with covered stents. Ann Vasc Surg 14:561–566PubMedCrossRefGoogle Scholar
  4. 4.
    Scheinert D, Schroder M, Steinkamp H, Ludwig J, Biamino G (2000) Treatment of iliac artery aneurysms by percutaneous implantation of stent-grafts. Circulation 102[19 Suppl 3]:253–258Google Scholar
  5. 5.
    Sanada J, Matsui O, Arakawa F, Tawara M, Endo T, Ito H, Ushijima S, Endo M, Ikeda M, Miyazu K (2005) Endovascular stent-grafting for infected iliac artery pseudoaneurysms. Cardiovasc Intervent Radiol 28:83–86PubMedCrossRefGoogle Scholar
  6. 6.
    Farhrni M, Lachat MM, Wildermuth S, Pfammatter T (2003) Endovascular therapeutic options for isolated iliac aneurysms with a working classification. Cardiovasc Intervent Radiol 26:443–447Google Scholar
  7. 7.
    Baltacioglu F, Cimsit NC, Cil B, Cekirge S, Ispir S (2003) Endovascular stent-graft applications in iatrogenic vascular injuries. Cardiovasc Intervent Radiol 26:434–439PubMedCrossRefGoogle Scholar
  8. 8.
    Muller BT, Wegener OR, Grabitz K, Pillny M, Thomas L, Sandmann W (2001) Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg 33:106–113PubMedCrossRefGoogle Scholar
  9. 9.
    Scheinert D, Ludwig J, Steinkamp HJ, Schrοder M, Balzer JO, Biamino G (2000) Treatment of catheter-induced iliac artery injuries with self-expanding endografts. J Endovasc Ther 7:213–220PubMedCrossRefGoogle Scholar
  10. 10.
    Formichi M, Raybaud G, Benichou H, Ciosi G (1998) Rupture of the external iliac artery during balloon angioplasty: Endovascular treatment using a covered stent. J Endovasc Surg 5:37–41PubMedCrossRefGoogle Scholar
  11. 11.
    Allaire E, Melliere D, Poussier B, Kobeiter H, Desgranges P, Becquemin J-P (2003) Iliac artery rupture during balloon dilatation: What treatment? Ann Vasc Surg 17:306–314PubMedCrossRefGoogle Scholar
  12. 12.
    Redman A, Cope L, Uberoi R (2001) Iliac artery injury following placement of the Memotherm arterial stent. Cardiovasc Intervent Radiol 24:113–116PubMedCrossRefGoogle Scholar
  13. 13.
    Nyman U, Uher P, Lindh M, Lindblad B, Brunkwall J, Ivancev K (1999) Stent-graft treatment of iatrogenic iliac artery perforations: Report of three cases. Eur J Vasc Endovasc Surg 17:259–263PubMedCrossRefGoogle Scholar
  14. 14.
    Vorwerk D, Gunther RW (2001) Percutaneous interventions for treatment of iliac artery stenoses and occlusions. World J Surg 25:319–327PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • A. Chatziioannou
    • 1
  • D. Mourikis
    • 1
  • J. Katsimilis
    • 1
  • V. Skiadas
    • 1
    • 2
    Email author
  • V. Koutoulidis
    • 1
  • K. Katsenis
    • 1
  • L. Vlahos
    • 1
  1. 1.Radiology Department, Areteion HospitalUniversity of AthensAthensGreece
  2. 2.Vasilios SkiadasAthensGreece

Personalised recommendations