An iliac stenosis causing a pressure gradient of 70 mm Hg proximal to repair of a traumatically divided superficial femoral artery was relieved by per cutaneous transluminal balloon angioplasty (PTA). Though the magnitude of the accompanying crush injury led to massive muscle necrosis and ultimately necessitated mid-thigh amputation, the arterial repair remained patent.
Get full access to this article
View all access options for this article.
References
1.
Alpert JR, Ring EJ, Freiman DB, et al: Balloon dilation of iliac stenosis with distal arterial surgery . Arch Surg115:715-717, 1980.
2.
Beebe HG, Stark R., Freeny PC: Indications for transluminal angioplasty: A surgical view. Am J Surg140:31-39, 1980.
3.
Cobb LA, Alvarez H., Copass MK: A rapid response system for out-of-hospital cardiac emergencies. Med Clin N Am60:283-290, 1976.
4.
Eger M., Golcman L., Goldstein A., Hirsch M.: The use of a temporary shunt in the management of arterial vascular injuries . Surg Gynecol Obst132:67, 1971.
5.
Hardaway RM, Johnson DG, Elovitz MJ, et al: Studies on the fibrinogen replacement in dogs. Ann Surg160:835, 1964.
6.
Kuhlmann U., Vetter W., Furrer J., Lutolf U., et al: Renovascular hypertension: Treatment by percutaneous transluminal dilation. Ann Intern Med92:1-6, 1980.
