Acute Mesenterial Ischaemia Following Percutaneous Angioplasty of the External Iliac Artery in a Patient with Extensive Atherosclerosis

摘要

IntroductionSubintimal angioplasty is a well-recognised treatment method for stenosis and occlusions in peripheral arterial occlusive disease. In patients with extensive atherosclerosis, large pelvic collateral networks may signify concomitant mesenterial artery disease.Case reportWe describe a patient in whom a percutaneous subintimal angioplasty of the external iliac artery was complicated by acute bowel ischaemia due to occlusion of important mesenteric collaterals. After urgent bypass surgery, the patient made a full recovery.ConclusionThis report emphasises the importance of recognising mesenteric collateral formation from the iliac arteries in endovascular procedures, as the mesenterial vascularisation may depend heavily on it.