Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS)
A 28-year-old male with history of vascular Ehlers-Danlos syndrome (VEDS) presented with left lower extremity acute limb ischemia. Computed tomography angiography demonstrated spontaneous dissection of the left common iliac artery with occlusion and associated contained rupture . Successful stent pl...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428722001460 |
| _version_ | 1797385214736990208 |
|---|---|
| author | Simon Fraser, DO Peter J. Rossi, MD Eric J. Hohenwalter, MD Joseph P. Hart, MD Michael J. Malinowski, MD |
| author_facet | Simon Fraser, DO Peter J. Rossi, MD Eric J. Hohenwalter, MD Joseph P. Hart, MD Michael J. Malinowski, MD |
| author_sort | Simon Fraser, DO |
| collection | DOAJ |
| description | A 28-year-old male with history of vascular Ehlers-Danlos syndrome (VEDS) presented with left lower extremity acute limb ischemia. Computed tomography angiography demonstrated spontaneous dissection of the left common iliac artery with occlusion and associated contained rupture . Successful stent placement without associated complications was achieved with the following principles: (1) open arterial exposure for endovascular intervention; (2) no touch technique vessel dissection; (3) circumferential proximal arterial felt cuff reinforcement to reduce systolic pulse wave stretch on sutures, and in case of emergent ligation; and (4) pledgetted “preclose U” stitch monofilament suture prior to access. |
| first_indexed | 2024-03-08T21:50:56Z |
| format | Article |
| id | doaj.art-6380335296614eccbc4e1f0d90a9c68a |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-08T21:50:56Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-6380335296614eccbc4e1f0d90a9c68a2023-12-20T07:35:05ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-12-0194101002Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS)Simon Fraser, DO0Peter J. Rossi, MD1Eric J. Hohenwalter, MD2Joseph P. Hart, MD3Michael J. Malinowski, MD4Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI; Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WICorrespondence: Peter J. Rossi MD, Professor and Chief, Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226; Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI; Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WIDivision of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI; Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WIDivision of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI; Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WIDivision of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI; Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WIA 28-year-old male with history of vascular Ehlers-Danlos syndrome (VEDS) presented with left lower extremity acute limb ischemia. Computed tomography angiography demonstrated spontaneous dissection of the left common iliac artery with occlusion and associated contained rupture . Successful stent placement without associated complications was achieved with the following principles: (1) open arterial exposure for endovascular intervention; (2) no touch technique vessel dissection; (3) circumferential proximal arterial felt cuff reinforcement to reduce systolic pulse wave stretch on sutures, and in case of emergent ligation; and (4) pledgetted “preclose U” stitch monofilament suture prior to access.http://www.sciencedirect.com/science/article/pii/S2468428722001460Endovascular repairRuptured iliac artery aneurysmVascular Ehlers-Danlos syndrome |
| spellingShingle | Simon Fraser, DO Peter J. Rossi, MD Eric J. Hohenwalter, MD Joseph P. Hart, MD Michael J. Malinowski, MD Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) Journal of Vascular Surgery Cases and Innovative Techniques Endovascular repair Ruptured iliac artery aneurysm Vascular Ehlers-Danlos syndrome |
| title | Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) |
| title_full | Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) |
| title_fullStr | Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) |
| title_full_unstemmed | Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) |
| title_short | Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS) |
| title_sort | management of spontaneous dissection and rupture of common iliac artery in vascular ehlers danlos syndrome veds |
| topic | Endovascular repair Ruptured iliac artery aneurysm Vascular Ehlers-Danlos syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2468428722001460 |
| work_keys_str_mv | AT simonfraserdo managementofspontaneousdissectionandruptureofcommoniliacarteryinvascularehlersdanlossyndromeveds AT peterjrossimd managementofspontaneousdissectionandruptureofcommoniliacarteryinvascularehlersdanlossyndromeveds AT ericjhohenwaltermd managementofspontaneousdissectionandruptureofcommoniliacarteryinvascularehlersdanlossyndromeveds AT josephphartmd managementofspontaneousdissectionandruptureofcommoniliacarteryinvascularehlersdanlossyndromeveds AT michaeljmalinowskimd managementofspontaneousdissectionandruptureofcommoniliacarteryinvascularehlersdanlossyndromeveds |