Endovascular management of iliac vein rupture during percutaneous interventions for occlusive lesions

Matthew K. Adams, Javier E. Anaya-Ayala, Mark G. Davies, Jean Bismuth, Eric K. Peden

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Iatrogenic Iliac vein rupture is a rare and potentially lethal complication. We present herein two different clinical scenarios of iatrogenic iliac vein rupture that resulted from performing percutaneous endoluminal interventions to treat symptomatic veno-occlusive lesions. The first case was due to the presence of surgical clips from the patient's previous gynecologic surgery, which caused iliac vein compression and eventually led to acute deep vein thrombosis. The second case resulted from central venous outflow obstruction ipsilateral to a lower extremity arteriovenous dialysis access site. Both Iliac vein ruptures were the result of percutaneous attempts to correct the outflow lesion (delayed in the first case and acute in the second case). Hemorrhage was successfully controlled in both cases using a self-expandable Viabahn (W. L. Gore and Associates, Flagstaff, AZ) covered stent while maintaining vessel patency and resolving symptoms related to veno-occlusive disease.

Original languageEnglish (US)
Pages (from-to)575.e5-575.e9
JournalAnnals of Vascular Surgery
Volume26
Issue number4
DOIs
StatePublished - May 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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