Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report
Iatrogenic rupture of the iliac artery during endovascular intervention is a rare but potentially serious complication of vascular interventional procedures that can lead to hemorrhagic shock and death if not diagnosed early and treated promptly. A 51-year-old man underwent transcatheter arterial...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2025-07-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0143 |
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| author | Min Jee Kim Kun Yung Kim Hong Pil Hwang Young Min Han |
| author_facet | Min Jee Kim Kun Yung Kim Hong Pil Hwang Young Min Han |
| author_sort | Min Jee Kim |
| collection | DOAJ |
| description | Iatrogenic rupture of the iliac artery during endovascular intervention is a rare but potentially
serious complication of vascular interventional procedures that can lead to hemorrhagic
shock and death if not diagnosed early and treated promptly. A 51-year-old man underwent
transcatheter arterial chemoembolization for hepatocellular carcinoma. During the procedure,
the right common iliac artery ruptured, which was identified by extravasation of contrast
media on angiography. Urgent balloon tamponade was performed for 20 minutes, followed
by contralateral femoral access, and distal aorta ballooning was performed to stabilize
the hemodynamics; during ballooning, a balloon-expandable stent graft was deployed from
the ipsilateral side. The patient’s vital signs stabilized without complications. This report highlights
the importance of prompt recognition and management of iatrogenic vascular injuries
during endovascular procedures as well as the efficacy of balloon tamponade, distal aorta
ballooning, and stent-graft placement in achieving hemostasis and patient stabilization. |
| format | Article |
| id | doaj-art-4b759b4cf7ea4d65a4c94ecd02f9e057 |
| institution | DOAJ |
| issn | 2951-0805 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-4b759b4cf7ea4d65a4c94ecd02f9e0572025-08-20T03:08:55ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-07-01864549555https://doi.org/10.3348/jksr.2024.0143Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case ReportMin Jee KimKun Yung KimHong Pil HwangYoung Min HanIatrogenic rupture of the iliac artery during endovascular intervention is a rare but potentially serious complication of vascular interventional procedures that can lead to hemorrhagic shock and death if not diagnosed early and treated promptly. A 51-year-old man underwent transcatheter arterial chemoembolization for hepatocellular carcinoma. During the procedure, the right common iliac artery ruptured, which was identified by extravasation of contrast media on angiography. Urgent balloon tamponade was performed for 20 minutes, followed by contralateral femoral access, and distal aorta ballooning was performed to stabilize the hemodynamics; during ballooning, a balloon-expandable stent graft was deployed from the ipsilateral side. The patient’s vital signs stabilized without complications. This report highlights the importance of prompt recognition and management of iatrogenic vascular injuries during endovascular procedures as well as the efficacy of balloon tamponade, distal aorta ballooning, and stent-graft placement in achieving hemostasis and patient stabilization.https://doi.org/10.3348/jksr.2024.0143iliac artery ruptureballoon tamponadedistal aorta ballooningstent-graft placement |
| spellingShingle | Min Jee Kim Kun Yung Kim Hong Pil Hwang Young Min Han Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report Journal of the Korean Society of Radiology iliac artery rupture balloon tamponade distal aorta ballooning stent-graft placement |
| title | Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report |
| title_full | Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report |
| title_fullStr | Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report |
| title_full_unstemmed | Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report |
| title_short | Endovascular Treatment for Iatrogenic Right External Iliac Artery Rupture during Transcatheter Chemoembolization of Hepatocellular Carcinoma: A Case Report |
| title_sort | endovascular treatment for iatrogenic right external iliac artery rupture during transcatheter chemoembolization of hepatocellular carcinoma a case report |
| topic | iliac artery rupture balloon tamponade distal aorta ballooning stent-graft placement |
| url | https://doi.org/10.3348/jksr.2024.0143 |
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