Mark O. Baerlocher, BSc, Dheeraj K. Rajan, MD, FRCPC, FSIR, Douglas J

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Presentation transcript:

Primary stenting of bilateral radiation-induced external iliac stenoses Mark O. Baerlocher, BSc, Dheeraj K. Rajan, MD, FRCPC, FSIR, Douglas J. Ing, MD, FRCPC, Barry B. Rubin, MD, PhD, FRCSC Journal of Vascular Surgery Volume 40, Issue 5, Pages 1028-1031 (November 2004) DOI: 10.1016/j.jvs.2004.08.031 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 Iliac angiogram illustrates severe bilateral stenoses of external iliac arteries, with stenoses and occlusions of internal iliac artery branches bilaterally. Vascular disease is confined to the pelvic vessels symmetrically, which suggests an area of previous irradiation. Journal of Vascular Surgery 2004 40, 1028-1031DOI: (10.1016/j.jvs.2004.08.031) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Selective right common iliac arteriogram demonstrates stenosis of the right external iliac artery and divisions of the internal iliac artery within a defined area, consistent with radiation-induced arteritis. B, Selected right common iliac arteriogram obtained during balloon dilation of the premounted balloon-expandable stent. Pressure of 18 atm was required to dilate the waist seen. C, Selective left common iliac arteriogram demonstrates stenosis of left external and internal iliac arteries. D, Selected left common iliac arteriogram obtained during balloon dilation of the premounted balloon expandable stent. Pressure of 18 atm was required to dilate the waist seen. Journal of Vascular Surgery 2004 40, 1028-1031DOI: (10.1016/j.jvs.2004.08.031) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Completion arteriogram demonstrates successful stenting of left and right external iliac artery stenoses. Arrows indicate proximal and distal ends of stents. B, Magnified image of stented left external iliac artery demonstrates no arterial dissection, which is suggested by the imaging findings in A. Journal of Vascular Surgery 2004 40, 1028-1031DOI: (10.1016/j.jvs.2004.08.031) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions