Simultaneous External Iliac Artery and Vein Rupture Following Percutaneous Balloon Angioplasty

  • Freidoun Sabzi Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Reza Faraji Mail Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Coronary artery bypass, Artery stenosis, Angiography


A 73-year-old woman who had undergone coronary artery bypass grafting for coronary artery stenosis six years ago, presented with right lower extremity claudication. Angiography revealed right external artery stenosis. Elective external iliac PTCA was performed complicated with simultaneous external iliac artery and vein rupture that was an exceedingly rare event. Retroperitoneal laparotomy with repair of ruptures took done, but the patient died with post-operative multi-organ failure.


Tegtmeyer CJ, Hartwell GD, Selby JB, et al. Results and complications of angioplasty in aortoiliac disease. Circulation 1991;83(2 suppl):53-60.

Murphy KD, Encarnacion CE, Le VA, et al. Iliac artery stent placement with the Palmaz stent: a follow-up study. J Vasc Intervent Radiol 1995;6(3):321-9.

Henry M, Amor M, Ethevenot G, et al. Palmaz stent placement in iliac and femoropopliteal arteries. Radiology 1995;197(1):167-74.

Brothers TE, Greefield LJ. Long-term results of aortoiliac reconstruction. J Vasc Intervent Radiol 1990;1(1):49-55.

Gaines PA, Cumberland DC. Wire loop technique for angioplasty of total iliac artery occlusions. Radiology 1988;168(1):275-6.

Ring EJ, Freimann DB, McLean GK, et al. Percutaneous recanalization of common iliac artery occlusions. AJR Am J Roentgenol 1982;139(3):587-9.

Colapinto RF, Stronell RD, Johnston WK. Transluminal angioplasty of complete iliac obstructions. Am J Roentgenol 1986 Apr;146(4):859-62.

Isner JM, Cohen SR, Virmani R. Complications of the intraaortic balloon counterpulsation device: clinical and morphologic observations in 45 necropsy patients. Am J Cardiol 1980;45(2):260-8.

Kussmaul WG, BuchbinderM, Whitlow PL. Rapid arterial hemostasis and decreased access site complications after cardiac catheterization and angioplasty. J Am Coll Cardiol 1995;25(7):1685-92.

Johnston KW. Iliac arteries. Radiology 1993;186(1):207-12.

Blum U, Gabelmann A, Redecker M, et al. Percutaneous recanalization of iliac artery occlusions: results of a prospective study. Radiology 1993;189(2):536-40.

Sullivan TM, Childs MB, Bacharach JM, et al. Percutaneous transluminal angioplasty and primary stenting of the iliac arteries in 288 patients. J Vasc Surg 1997;25(5):829-38.

Vorwerk D, Gunther RW, Schurmann K, et al. Aortic and iliac stenoses. Follow-up results of stent placement afterminsufficient balloon angioplasty in 118 cases. Radiology 1996;198(1):45-8.

Hausegger KA, Lammer J, Klein G, et al. Percutaneous recanalization of pelvic artery occlusionsfibrinolysis, PTA, stents. Rofo 1991;155(6):550-5.

Waksman R, King SB, Douglas JS. Predictors of groin complications after balloon and new-device coronary interventions. Am J Cardiol 1995;75(14):886-9.

Fruhwith J, Pascher O, Hauser H. Local vascular complications after iatrogenic femoral artery puncture. Wien Klin Wochenschrift 1996;108(7):196-200.

Belli AM, Cumberland DC, Knox AM. The complication rate of percutaneous peripheral balloon angioplasty. Clin Radiol 1990;41(6):380-3.

Lodge JP, Hall R. Retroperitoneal haemorrhage: A dangerous complication of common femoral arterial puncture. Eur J Vasc Surg 1993;7(3):355-7.

Chong WK, Cross FW, Raphael MJ. Iliac artery rupture during percutaneous angioplasty. Clin Radiol 1990;41(5):358-9.

Formichi M, Raybaud G, Benichou H. Rupture of the external iliac artery during balloon angioplasty: Endovascular treatment using a covered stent. J Endovasc Surg 1998;5(1):37-41.

Sreeram S, Lumsden AB, Miller JS. Retroperitoneal hematoma following femoral arterial catheterization: A serious and often fatal complication. Am Surg 1993;59(2):94-8.

Sharma S, Arya S, Mehta SN. Renal vein injury during percutaneous transluminalrenal angioplasty in nonspecific aortoarteritis. Cardiovasc Intervent Radiol 1993;16(2):114-6.

How to Cite
Sabzi F, Faraji R. Simultaneous External Iliac Artery and Vein Rupture Following Percutaneous Balloon Angioplasty. Acta Med Iran. 54(2):151-155.
Case Report(s)