Iliac artery laceration secondary to retained femoral artery sheath

Dolores F. Cikrit, Stephen G. Lalka, Michael Dalsing, Alan Sawchuk

Research output: Contribution to journalArticle

Abstract

Four patients required surgery to control bleeding from an iliac artery laceration. All patients had an 8 Fr or larger femoral artery sheath left within the iliac artery system for at least 8 hours. Symptoms included lower back or abdominal pain. Patients were taken emergently to the surgical suite for control of their bleeding episode. The bleeding was occurring from a laceration of the iliac artery wall at its bifurcation into the external and internal iliac arteries, which appeared to have resulted from the tip of the retained sheath. All patients had recently received heparin or urokinase. Primary repair was possible in three patients; another required an ileoileo bypass graft. Despite successful repair of the vessel, one patient died. Retained femoral artery sheaths can lead to lacerations of the iliac artery. The length of time that sheaths are left in the artery should be minimized to prevent laceration of the arterial wall by the tip of the sheath.

Original languageEnglish
Pages (from-to)577-582
Number of pages6
JournalVascular Surgery
Volume31
Issue number5
StatePublished - 1997

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Lacerations
Iliac Artery
Femoral Artery
Hemorrhage
Urokinase-Type Plasminogen Activator
Low Back Pain
Abdominal Pain
Heparin
Arteries
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Iliac artery laceration secondary to retained femoral artery sheath. / Cikrit, Dolores F.; Lalka, Stephen G.; Dalsing, Michael; Sawchuk, Alan.

In: Vascular Surgery, Vol. 31, No. 5, 1997, p. 577-582.

Research output: Contribution to journalArticle

Cikrit, Dolores F. ; Lalka, Stephen G. ; Dalsing, Michael ; Sawchuk, Alan. / Iliac artery laceration secondary to retained femoral artery sheath. In: Vascular Surgery. 1997 ; Vol. 31, No. 5. pp. 577-582.
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