Endovascular Management of Acute External Iliac Artery Rupture via Transradial Access in Patients with Hemorrhagic Shock
-
By
-
Shadi Halabi
-
September 24, 2026
Endovascular Management of Acute External Iliac Artery Rupture via Transradial Access
Background
Acute iliac artery rupture can lead to life-threatening hemorrhagic shock, necessitating rapid intervention. Traditional access methods, such as transfemoral and transbrachial, carry significant risks of vascular complications. Transradial access has been increasingly adopted in various endovascular procedures.
Data Highlights
No numerical data or trial data available in the source material.
Key Findings
- Transradial access was successfully utilized for the emergent management of iliac artery rupture.
- The patient experienced significant hemodynamic instability and required multiple pressors prior to intervention.
- A covered stent was deployed to manage active contrast extravasation from the iliac artery.
- The procedure lasted 14 minutes with no complications at the access site or lower extremities.
- The patient was discharged to a rehabilitation facility after 14 days, following an 8-day ICU stay.
Clinical Implications
Transradial access for iliac artery repair may be considered in selected patients experiencing acute iliac artery injuries.
Conclusion
This case illustrates the use of transradial access for managing acute iliac artery rupture in a patient with hemorrhagic shock.
Related Resources & Content
- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma
- Endovascular management of iatrogenic femoral access site vascular injuries: A case series and literature review - ScienceDirect
- Clinical Research in Cardiology — Simplified radial artery haemostasis: using non-compressive dressings—the Radial Artery Puncture Haemostasis Evaluation trial: results of the RAPHE trial
- Frontiers in Cardiovascular Medicine — Precision approach for transradial access during PCI: a state-of-the-art review
- European Radiology — Radiation exposure in transradial versus transfemoral access in endovascular treatment of intracranial aneurysms
- Frontiers in Surgery — Total endovascular repair of a post-TEVAR Crawford extent II thoracoabdominal aortic aneurysm with concomitant renal artery aneurysm: a case report
- Radial Access Approach to Peripheral Vascular Interventions - Professional Heart Daily | American Heart Association
- European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma
- Endovascular management of iatrogenic femoral access site vascular injuries: A case series and literature review - ScienceDirect
Based on findings from:
Transradial Endovascular Treatment of Acute External Iliac Artery Rupture in Hemorrhagic Shock
Shadi Halabi. Journal Of Endovascular Therapy, 2026.
https://journals.sagepub.com/doi/abs/10.1177/15266028261484774
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.
