Key result
Balloon-expandable PTFE stent graft successfully treats ruptured iliac aneurysm with diameter mismatch through 12 months.
Why the study?
There are few published data on stent grafting unstable patients with acute iliac aneurysm rupture and diameter mismatch presenting challenges to emergency endovascular treatment.
Case Report (n=1)
Percutaneous balloon-expandable PTFE stent graft repair can be successfully used for emergency treatment of ruptured iliac aneurysms with diameter mismatch.
Answers are grounded in this paper and cite their sources.
May support emergency stent-graft repair for mismatched ruptured iliac aneurysms; leaves open need for prospective validation.
Elective stent graft repair of iliac aneurysm is successful and safe. There are, however, few published data on stent grafting unstable patients with acute iliac aneurysm rupture. Iliac diameter mismatch can also present a challenge to emergency endovascular treatment. We report the treatment of an unstable patient with iliac aneurysm rupture and diameter mismatch using a percutaneous balloon-expandable polytetrafluoroethylene (PTFE) stent graft. Outcomes were satisfactory up to 12-month follow-up. Treatment of iliac aneurysm rupture using a balloon-expandable stent graft can be successful in selected patients. A percutaneous approach and targeted stent graft postdilatation enable prompt repair in the presence of diameter mismatch, facilitating emergency therapy.
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Cookson et al. (2011) conducted a case report in Iliac aneurysm rupture with diameter mismatch (n=1). Percutaneous balloon-expandable polytetrafluoroethylene (PTFE) stent graft was evaluated on Clinical outcomes. Percutaneous balloon-expandable PTFE stent graft repair of a ruptured iliac aneurysm with diameter mismatch yielded satisfactory outcomes up to 12 months of follow-up in a single unstable patient.
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