Radiology, Vol 168, 131-135, Copyright © 1988 by Radiological Society of North America
Occlusion during iliac angioplasty: a salvageable complication
JS Train, SJ Dan, HA Mitty, SH Dikman, EB Harrington, CM Miller and JH Jacobson 2d
Department of Radiology, Mount Sinai Hospital, New York, NY.
During transluminal dilation of the iliac artery, occlusion resulting from
dissection occurred in four patients. In all four, the deteriorating
clinical findings prompted surgical intervention. In three patients,
Fogarty balloon catheters easily passed the occluded segments and specimens
much the same as surgical endarterectomy specimens were retrieved. A clamp
was used to retrieve the dissected portion of the vessel wall in the fourth
patient. Three of four vessels have remained patent for 18 months, 18
months, and 6 months, respectively. One patient underwent bypass surgery 4
months after the occlusion episode for recurrent stenosis in a segment of
vessel above the occluded segment, which had also been dilated during the
same procedure. It is therefore possible in some cases to salvage vessels
occluded during angioplasty, making it unnecessary to resort to
aortofemoral or other type of bypass.
