case_images: PMC11113023_01
case_images: Pre-operative images showing the descending thoracic aorta aneurysm; digital subtraction angiography (a); axial plane (b); and 3D volume rendering (c).
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case_images: fig1-2050313X241236328
case_images: An 83-year-old female patient was admitted to our Institution with an occasional finding of a descending thoracic aortic aneurysm with a maximum diameter of 70 mm on computed tomography angiography (CTA) (Figure 1).
case_images: External iliac artery completely dislodged from its origin still on the Medtronic Sentrant 22 Fr introducer sheath.
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case_images: During sheath removal, a circumferential rupture of the right external iliac artery (EIA) occurred at the level of the common iliac artery bifurcation. (Figures 2-3(a)) In order to limit the massive bleeding, an aortic occlusion balloon (Giant-S, SciTech:Aparecida de Goiania, GO) was placed in the distal aorta.
case_images: Angiography showing massive bleeding at the right iliac fracture site (a); aorto-iliac endovascular reconstruction with balloon expandable stent graft and coils (b).
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case_images: PMC11113023_01_10.1177_2050313X241236328-fig3.jpg
case_images: fig3-2050313X241236328
case_images: During sheath removal, a circumferential rupture of the right external iliac artery (EIA) occurred at the level of the common iliac artery bifurcation. (Figures 2-3(a)) In order to limit the massive bleeding, an aortic occlusion balloon (Giant-S, SciTech:Aparecida de Goiania, GO) was placed in the distal aorta. An aorto-uniliac balloon expandable stent graft (Bentley BeGraft 20 x 48 mm and 14 x 59 mm, InnoMed:Hechingen, DE) was deployed from the distal aorta to the left common iliac artery through a left common femoral artery surgical access (Figure 3(b)).
case_images: Post-operative CTA demonstrating correct positioning of the stent grafts and regular patency of the bypass.
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case_images: Six months follow-up CTA showing correct aneurysm exclusion (a); regular patency of the stent grafts and bypass (b and c) and no endoleaks.
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case_images: The 6-month follow-up CTA showed correct aneurysm exclusion and no endoleaks (Figure 5).