Successful coil embolization with a basic technique for ruptured posterior tibial artery in a patient with Ehlers-Danlos syndrome type IV: A case report

• 作者: Keisuke Onishi Morio Nagahata Rei Kondo Satoko Nezu Shinjiro Saito
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: EHLERS-DANLOS Syndrome Type IV PERIPHERAL ARTERIAL RUPTURE Coil EMBOLIZATION
• 年，卷（期）: 2013,（2）
• 页码范围: 131-134
• 页数: 4页
• 分类号: R73

摘要

The surgical management of vascular complication with Ehlers-Danlos Syndrome type IV (EDS-IV) is extremely challenging because of its tissue or organ fragility including arteries. Less traumatic maneuvers and devices have been recommended to perform the endovascular treatment for the vascular lesion of EDS-IV, although the endovascular procedure is less invasive than surgical intervention. We report a 23-year-old man with EDS-IV suffered from left posterior tibial arterial rupture. We performed internal trapping of the ruptured segment using detachable coils with a standard technique via the contralateral femoral artery puncture. The patient was discharged without any complication associated with the endovascular procedure. Embolization by a basic technique, performed with greatest care, is a safe and useful treatment option which we radiologists should try for managing EDS-IV patients.