Iliac artery kinking with endovascular therapies: Technical considerations

David L Dawson, Jeffrey C. Hellinger, Thomas T. Terramani, Sasan Najibi, Louis G. Martin, Alan B. Lumsden

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Iliac artery tortuosity should be considered when planning endovascular interventions from a femoral approach. Stiff guide wires across tortuous iliac segments can introduce foreshortening and temporary kinking. Recognition of this phenomenon and its implications is important when making anatomic measurements before endovascular device placement, when assessing iliac runoff, and when considering adjunctive procedures after aortoiliac interventions. Two illustrative cases of external iliac artery kinking are presented, one during an abdominal aortic aneurysm endograft procedure and another encountered during stent placement in an external iliac artery dissection. In both cases, the temporary nature of the deformity was recognized, avoiding unnecessary additional intervention.

Original languageEnglish (US)
Pages (from-to)729-733
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume13
Issue number7
StatePublished - 2002
Externally publishedYes

Keywords

  • Aneurysms, therapy
  • Iliac arteries, stents and prostheses

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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    Dawson, D. L., Hellinger, J. C., Terramani, T. T., Najibi, S., Martin, L. G., & Lumsden, A. B. (2002). Iliac artery kinking with endovascular therapies: Technical considerations. Journal of Vascular and Interventional Radiology, 13(7), 729-733.