%0 Case Reports
%T Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS).
%A Fraser S
%A Rossi PJ
%A Hohenwalter EJ
%A Hart JP
%A Malinowski MJ
%J J Vasc Surg Cases Innov Tech
%V 9
%N 4
%D 2023 Dec
%M 38023322
暂无%R 10.1016/j.jvscit.2022.08.007
%X A 28-year-old male with history of vascular Ehlers-Danlos syndrome (VEDS) presented with left lower extremity acute limb ischemia. Computed tomography angiography demonstrated spontaneous dissection of the left common iliac artery with occlusion and associated contained rupture . Successful stent placement without associated complications was achieved with the following principles: (1) open arterial exposure for endovascular intervention; (2) no touch technique vessel dissection; (3) circumferential proximal arterial felt cuff reinforcement to reduce systolic pulse wave stretch on sutures, and in case of emergent ligation; and (4) pledgetted "preclose U" stitch monofilament suture prior to access.