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Cardiovasc Intervent Radiol · Jan 2002
Case ReportsSuccessful emergency stenting of acute ruptured false iliac aneurysm.
- Edwin Bierdrager, Paul N M Lohle, Cees M Schoemaker, Leo E H Lampmann, Dennis P van Berge Henegouwen, and Jaap F Hamming.
- Department of Radiology, St. Elisabeth Hospital, Hilvarenbeekse weg 60, 5022 GC, Tilburg, The Netherlands. ebierd@elisabeth.nl
- Cardiovasc Intervent Radiol. 2002 Jan 1; 25 (1): 72-3.
AbstractA 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.
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