Endovascular treatment of iliac artery rupture after septic embolization

Endovascular treatment of iliac artery rupture after septic embolization

Authors

  • Silvia Eleonora Gazzani Department of Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy http://orcid.org/0000-0002-7678-3297
  • Claudio Bianchini Massoni Unit of Vascular Surgery, Department of Surgical Sciences, University of Parma, Parma, Italy
  • Carla Marcato Unit of Diagnostic and Interventional Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy
  • Ilaria Paladini Unit of Diagnostic and Interventional Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy
  • Cristina Rossi Unit of Diagnostic and Interventional Radiology, Department of Surgical Sciences, University of Parma, Parma, Italy

Keywords:

infected pseudoaneurysms, endovascular treatment, interventional radiology.

Abstract

A 56-year man with multiple comorbidities and recent septic embolization presented claudication intermittens (Rutherford3) at right lower limb and complaint in right lower quadrant at abdominal palpation. Duplex and computed tomography angiogram (CTA) showed a 64mm-pseudo-aneurysm (PA) originating from right common iliac artery, occlusion of external iliac and patency of hypogastric artery. An urgent endovascular approach was preferred. By left brachial percutaneous access, coil embolization (Balt SPI™ and Cook MReye™) of hypogastric and common iliac artery and deployment of Amplatzer Vascular PlugII™ into the common iliac artery were performed. Completion angiography showed exclusion of PA. One-day, 3‑day and 1-month CTA proofed no vascularization of PA. No fever, no leukocytosis, no signs of infection occurred during follow-up and 10-month CTA showed the complete resolution of pseudoaneurysm.

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Published

23-05-2019

Issue

Section

CASE REPORTS

How to Cite

1.
Gazzani SE, Bianchini Massoni C, Marcato C, Paladini I, Rossi C. Endovascular treatment of iliac artery rupture after septic embolization. Acta Biomed [Internet]. 2019 May 23 [cited 2024 Jul. 21];90(2):339-42. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/6714