Sage Journals: Discover world-class research

Abstract

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.

Keywords

balloon angioplasty Palmaz stent complication EndoPro System I

Get full access to this article

View all access options for this article.

References

Johnston

. Iliac arteries: reanalysis of results of balloon angioplasty. Radiology. 1993;186:207–212.

Sullivan

Childs

Bacharach

. Percutaneous transluminal angioplasty and primary stenting of the iliac arteries in 288 patients. J Vasc Surg. 1997;25:829–838.

Vorwerk

Günther

Schurmann

. Primary stent placement for chronic iliac artery occlusions: follow-up results in 103 patients. Radiology. 1995;194:745–749.

Henry

Amor

Ethevenot

. Percutaneous endoluminal treatment of iliac occlusions: long-term follow-up in 105 patients. J Endovasc Surg. 1998;5:228–235.

Scheinert

Schröder

Balzer

. Stent-supported reconstruction of the aortoiliac bifurcation using the kissing balloon technique. Circulation. 1999;100(suppl II):II-295–II-300.

Dyet

Gaines

Nicholson

. Treatment of chronic iliac artery occlusions by means of percutaneous endovascular stent placement. J Vasc Interv Radiol. 1997;8:349–353.

Reyes

Maynar

Lopera

. Treatment of chronic iliac artery occlusions with guidewire recanalization and primary stent placement. J Vasc Interv Radiol. 1997;8:1049–1055.

Vive

Bolia

. Aneurysm formation at the site of percutaneous transluminal angioplasty: a report of two cases and a review of the literature. Clin Radiol. 1992;45:125–127.

Castaneda

Wright

Mendez

. Angioplasty-induced pseudoaneurysm successfully treated with a Palmaz stent. Angiology. 1995;46:1021–1025.

10.

Blais

Bonneau

. Postangioplasty pseudoaneurysm treated with a vascular stent. AJR Am J Roentgenol. 1994;162:238–239.

11.

Chalmers

Eadington

Gandanhamo

. Case report: infected false aneurysm at the site of an iliac stent. Br J Radiol. 1993;66:946–948.

12.

Weinberg

Cronin

Baker

. Infected iliac pseudoaneurysm after uncomplicated percutaneous balloon angioplasty and (Palmaz) stent insertion: a case report and literature review. J Vasc Surg. 1996;23:162–166.

13.

Cutry

Whitley

Patterson

. Midaortic pseudoaneurysm complicating extensive endovascular stenting of aortic disease. J Vasc Surg. 1997;26:958–962.

14.

Dorros

Cohn

Jaff

. Percutaneous endovascular stent-graft repair of iliac artery aneurysms. J Endovasc Surg. 1997;4:370–375.

15.