Use of an Endograft from the External to the Internal Iliac Artery to Treat a Perforation of the Common Iliac Artery

An increase in the number of endovascular procedures has let to a concomitant increase in iatrogenic arterial lesions such as catheter-induced arterial perforation or vessel rupture after PTA. The traditional way of treating these problems is by way of an open surgical approach, balloon tamponade, insertion of uncovered stents or covering the rupture site with an endograft. The present case describes a new technique for treating catheter-induced perforation of the common iliac artery during an attempt to recanalise an occlusion of this vessel. This complication was treated by insertion of an endograft from the external to the internal iliac artery to exclude flow to the perforated common iliac artery.