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Massive Bleeding from Guidewire Perforation of an External Iliac Artery: Treatment with Hand-made Stent-Graft Placement

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Abstract

We report life-threatening bleeding from an external iliac artery perforation following guidewire manipulation in a patient with atherosclerotic iliac artery disease. This complication was successfully managed by indigenous hand-made stent-graft made from two peripheral stents in the catheterization laboratory.

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References

  1. Tiroch KA, Arora N, Matheny ME, Liu C, Lee TC, Resnic FS. Risk predictors of retroperitoneal hemorrhage following percutaneous coronary intervention. Am J Cardiol. 2008;102:1473–6.

    Article  PubMed  Google Scholar 

  2. Farouque HM, Tremmel JA, Raissi Shabari F, et al. Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol. 2005;45:363–8.

    Article  PubMed  CAS  Google Scholar 

  3. Mak GY, Daly B, Chan W, Tse KK, Chung HK, Woo KS. Percutaneous treatment of post catheterization massive retroperitoneal hemorrhage. Cathet Cardiovasc Diagn. 1993;29:40–3.

    Article  PubMed  CAS  Google Scholar 

  4. Allaire E, Melliere D, Poussier B, Kobeiter H, Desgranges P, Becquemin JP. Iliac artery rupture during balloon dilatation: what treatment? Ann Vasc Surg. 2003;17:306–14.

    Article  PubMed  Google Scholar 

  5. Tsetis D. Endovascular treatment of complications of femoral arterial access. Cardiovasc Intervent Radiol. 2010;33:457–68.

    Article  PubMed  Google Scholar 

  6. Maluenda G, Mitulescu L, Ben-Dor I, et al. Retroperitoneal hemorrhage after percutaneous coronary intervention in the current practice era: clinical outcomes and prognostic value of abdominal/pelvic computed tomography. Catheter Cardiovasc Interv. 2012;80:29–36.

    Article  PubMed  Google Scholar 

  7. Working Party on Thrombolysis in the management of limb ischemia. Thrombolysis in the management of limb arterial occlusion: towards a consensus interim report. J Intern Med. 1996;240:343–55.

    Article  Google Scholar 

  8. Mehta V, Pandit BN, Yusuf J, et al. Aortic rupture during aortoplasty in Takayasu arteritis-a rare complication: case report and review of literature. Indian Heart J. 2014;66:350–4.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Tatli E, Gunduz Y, Buturak A. Hematoma of the breast: a rare complication of transradial angiography and its treatment with handmade stent-graft. J Invasive Cardiol. 2014;26:E24–6.

    PubMed  Google Scholar 

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Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Compliance with Ethical Standards

All procedures performed in the study were in accordance with the ethical standards of the institutional research committee.

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Correspondence to Vimal Mehta.

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Mehta, V., Pandit, B.N., Mehra, P. et al. Massive Bleeding from Guidewire Perforation of an External Iliac Artery: Treatment with Hand-made Stent-Graft Placement. Cardiovasc Intervent Radiol 39, 106–110 (2016). https://doi.org/10.1007/s00270-015-1125-0

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  • DOI: https://doi.org/10.1007/s00270-015-1125-0

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