PMC4299364_01
(a) Urgent angiogram through contralateral access showing ruptured left CFA with large extravasation of contrast medium despite manual pressure. (b) After 10 mm balloon inflation in the left external iliac artery, an angiogram via the inner lumen of the balloon catheter highlights the feasibility to treat the erosion by placing a stent-graft. (c) Completion angiogram after deployment and post-dilatation of the stent-graft (arrow) showing maintained flow and no sign of leak. (d) Infected necrotic left groin cavity caused by radiotherapy after 2 weeks from the endovascular procedure.
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A 6 Fr sheath was, therefore, placed in the left common iliac artery from the right groin with a cross-over maneuver and an angiogram was carried out revealing a ruptured left CFA with large extravasation of contrast medium despite manual pressure (Fig. 1a). The subsequent angiography through the balloon catheter showed clearly the eroded CFA and the feasibility to repair it deploying a covered stent (Fig. 1b). AZ, USA) was advanced over a hydrophilic stiff guidewire and placed covering the erosion. After post-dilatation, completion angiography demonstrated a patent CFA without any leak (Fig. 1c). After 1 month the necrotic infected cavity was stable without recurrent bleeding (Fig. 1d); a Duplex scan showed patency of the stent graft but no recanalization of the iliofemoral deep vein thrombosis.