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Case Reports
. 2018 Apr 27;4(2):109-111.
doi: 10.1016/j.jvscit.2018.01.003. eCollection 2018 Jun.

Endovascular management of TransAtlantic Inter-Society Consensus D iliac artery occlusion secondary to radiation arteritis

Jonathan Lee  1 , Palma Shaw  2
Affiliations
Case Reports

Endovascular management of TransAtlantic Inter-Society Consensus D iliac artery occlusion secondary to radiation arteritis

Jonathan Lee et al. J Vasc Surg Cases Innov Tech. .

Abstract

Management of limb ischemia caused by radiation injury can be challenging. Atypical conduits or tunnels have been used for bypass through or around the injured area. Application of endovascular therapy for revascularization has not been widely published. Standard and alternative access sites with or without hybrid arterial adjuncts can be used successfully in cases in which surgical bypass is prohibitive. We describe a case of limb salvage in a patient treated with high-dose radiation for recurrent endocervical adenocarcinoma using a hybrid open surgical and endovascular approach.

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Figures

Fig 1
Fig 1
Computed tomography angiography reconstruction demonstrating stenosis of left common iliac artery (CIA) and complete external iliac artery (EIA) occlusions at the level of bifurcation with reconstitution at the superficial femoral artery-profunda femoral artery junctions bilaterally.
Fig 2
Fig 2
Completion angiography after right external iliac artery (EIA) revascularization demonstrating good inflow into superficial femoral and profunda femoral arteries and preserved patency of the internal iliac artery.
Fig 3
Fig 3
Completion angiography after left common iliac artery (CIA) to proximal common femoral artery (CFA) revascularization demonstrating good runoff into the CFA.
See this image and copyright information in PMC

References

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