Management of Iatrogenic External Iliac Artery Perforation With a Self-Made Covered Stent.

Abstract

Retroperitoneal hemorrhage (RPH) following transfemoral arterial access is a dreaded complication needing immediate management. A 70-year-old female with inferior wall myocardial infarction developed hemodynamic instability following transfemoral percutaneous coronary intervention. The evaluation revealed an RPH due to an iatrogenic guidewire-related perforation of the external iliac artery. This was successfully managed with the deployment of a custom, a self-made covered stent. In this report, we describe our method of creating and deploying this self-made stent and discuss potential issues compared to commercially available covered stent systems.

• Authors: Varun Marimuthu, Subramani Khamitkar Shankar Rao, Santosh Jadhav, Mohan H Nayak, Nagamani Alur
• Journal: Cureus (Cureus) Vol. 14 Issue 8 Pg. e28460 (Aug 2022) ISSN: 2168-8184 [Print] United States
• PMID: 36176840 (Publication Type: Case Reports)
• Copyright: Copyright © 2022, Marimuthu et al.