Pseudoaneurysm Formation at the Site of External Iliac Artery Stents: Percutaneous Stent-Graft Treatment

Purpose: To present a patient who developed an asymptomatic large iliac pseudoaneurysm complicating stent-supported iliac artery recanalization. Case Report: The pseudoaneurysm was detected in an asymptomatic 69-year-old man during routine angiography 6 months after an uncomplicated procedure to implant 3 overlapping Palmaz stents in an occluded external iliac artery. There was no evidence of stent infection. During a second intervention, the pseudoaneurysm was successfully treated by percutaneous implantation of an EndoPro System I stent-graft. Contrast-enhanced spiral computed tomography at 6 and 12 months confirmed the durability of aneurysm exclusion and the patency of the endoprosthesis. Conclusions: Angioplasty-induced pseudoaneurysm is rare and usually asymptomatic, but elective percutaneous stent-graft repair should be considered as the first treatment option.

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Endovascular treatment of arterio-ureteral fistula with new-generation balloon-expandable stent graft using a 7-French system

SAGE Open Medical Case Reports ◽

10.1177/2050313x20959219 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2095921

Author(s):

Naoki Yoshioka ◽

Kensuke Takagi ◽

Yasuhiro Morita ◽

Makoto Kawase ◽

Itsuro Morishima

Keyword(s):

Computed Tomography ◽

Stent Graft ◽

Iliac Artery ◽

Uterine Cancer ◽

External Iliac Artery ◽

Clinical History ◽

Massive Bleeding ◽

Stent Grafts ◽

Ureteral Fistula ◽

The Right

Arterio-ureteral fistulas are relatively rare, but a potentially life-threatening condition because of the possible massive bleeding. An 82-year-old woman with a history of hysterectomy and irradiation for uterine cancer was treated with ureteric stents for recurrent bilateral ureteral stenosis. During the adjustments of the stent, removing the right ureteric stent immediately resulted in massive hematuria. Computed tomography showed that the right ureter coursed above and seemed to be connected to the right external iliac artery. From the clinical history and computed tomography findings, an arterio-ureteral fistula between the right external iliac artery and right ureter was strongly suspected. The GORE® VIABAHN® VBX Stent Graft was deployed from the common iliac artery to the external iliac artery via a 7-French femoral system, followed by post-dilatation. The patient did not develop any complications or recurrence of hematuria after the procedure during the 11-month follow-up. The VBX is a useful device, with a low- profile device and a size-adjustable balloon-expandable stent that depended on the individual vessel size for post-dilatation. However, there are several concerns, such as risk of infection, stent thrombosis/stenosis, and chronic outcome while using stent grafts for treatment. Patients with arterio-ureteral fistulas who were treated using stent grafts should be carefully followed up.

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An External Iliac Artery Pseudoaneurysm Resulting From Stent Graft Migration

Vascular and Endovascular Surgery ◽

10.1177/1538574420965735 ◽

2020 ◽

pp. 153857442096573

Author(s):

Takahiro Tokuda ◽

Yasuhiro Oba ◽

Ryoji Koshida ◽

Ai Kagase ◽

Hiroaki Matsuda ◽

...

Keyword(s):

Computed Tomography ◽

Intravascular Ultrasound ◽

Ct Angiography ◽

Stent Graft ◽

Iliac Artery ◽

External Iliac Artery ◽

Stent Grafts ◽

Artery Pseudoaneurysm ◽

Graft Migration ◽

Iliac Artery Pseudoaneurysm

The case of an 80-year-old male with claudication of his left foot who was referred to our hospital for evaluation and treatment. Computed tomography (CT) angiography revealed occlusion of left common and external iliac (EIA) arteries. Recanalization of the EIA lesion under intravascular ultrasound (IVUS) guidance and placement of 2 stent grafts was completed successfully. Nine months later, 27 × 29 mm pseudoaneurysm of the left EIA was identified that appeared to have developed secondary to migration of the original stent graft. A new stent graft was placed.

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Endovascular Treatment of External Iliac Artery Injuries after Hip Arthroplasty

Journal of Endovascular Therapy ◽

10.1177/152660280301000340 ◽

2003 ◽

Vol 10 (3) ◽

pp. 672-675 ◽

Cited By ~ 8

Author(s):

Roberto Adovasio ◽

Fabio Pozzi Mucelli ◽

Giovanni Lubrano ◽

Cristiana Gasparini ◽

Manuel Belgrano ◽

...

Keyword(s):

Stent Graft ◽

Iliac Artery ◽

Elderly Women ◽

Case Reports ◽

External Iliac Artery ◽

Hip Surgery ◽

Hip Prostheses ◽

Arterial Lesions ◽

Stent Graft Repair

Purpose: To report endovascular repair of injuries to the external iliac artery during hip surgery. Case Reports: Two elderly women with histories of chronically infected hip prostheses were found to have iatrogenic leaking pseudoaneurysms of the external iliac artery due to hip surgery trauma in the past. Both were treated successfully with a Jostent Peripheral Stent-Graft. The first patient died 17 months after treatment, and the second was well, with an excluded false aneurysm, at the 6-month follow-up. Conclusions: Stent-graft repair may be an appropriate and effective treatment for some traumatic arterial lesions.

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Internal Iliac Artery Aneurysmo–Colonic Fistula after Endovascular Stent-Graft Repair: A Case Report

Annals of Vascular Diseases ◽

10.3400/avd.cr.14-00109 ◽

2015 ◽

Vol 8 (1) ◽

pp. 46-48 ◽

Cited By ~ 2

Author(s):

Yohsuke Yanase ◽

Johji Fukada ◽

Yukihiko Tamiya

Keyword(s):

Case Report ◽

Stent Graft ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Endovascular Stent ◽

Endovascular Stent Graft ◽

Colonic Fistula ◽

Internal Iliac ◽

Stent Graft Repair ◽

Endovascular Stent Graft Repair

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Pedunculated Hepatic Hemangioma - A case report

International Journal of Medicine and Surgery ◽

10.15342/ijms.v1i1.11 ◽

2014 ◽

Vol 1 (1) ◽

pp. 26-28

Author(s):

Mostafa Elhajjam ◽

Mohamed Lahkim ◽

Mohamed Karji Al-Marzouqi ◽

Pascal Lacombe

Keyword(s):

Computed Tomography ◽

Case Report ◽

Magnetic Resonance ◽

Pathological Examination ◽

Surgical Removal ◽

Hepatic Hemangioma ◽

Spiral Computed ◽

Thin Sections ◽

Multiplanar Reconstructions ◽

Contrast Enhanced

Pedunculated hemangioma is a rare and atypical hepatic angioma. We report the case of a pedunculated hepatic hemangioma presenting as an abdominal sub-hepatic mass incidentally discovered in a 66-year-old woman with anal cancer. The diagnosis was strongly suggested by the vascular features of the lesion on spiral computed tomography (CT) and magnetic resonance (MR) imaging. A surgical removal of the mass was decided to prevent potential risk of ischemic volvulus along the pedicle. Histo-pathological examination confirmed this diagnosis. Contrast enhanced thin sections and subsequent multiplanar reconstructions on CT and MR are very helpful to show the angioma features and the pedicle linking the lesion with the liver.

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