Transradial Endovascular Treatment of Acute External Iliac Artery Rupture in Hemorrhagic Shock - Scorecard - MDSpire
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Endovascular Management of Acute External Iliac Artery Rupture via Transradial Access in Patients with Hemorrhagic Shock

  • By

  • Shadi Halabi

  • September 24, 2026

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Clinical Scorecard: Endovascular Management of Acute External Iliac Artery Rupture via Transradial Access in Patients with Hemorrhagic Shock

At a Glance

CategoryDetail
ConditionAcute External Iliac Artery Rupture
Key MechanismsTransradial access for endovascular repair
Target PopulationPatients with hemorrhagic shock and iliac artery injury
Care SettingEmergent catheterization laboratory

Key Highlights

  • Transradial access is a feasible bailout strategy for iliac artery rupture.
  • Lower incidence of vascular complications compared to femoral access.
  • Successful deployment of a covered stent eliminated active contrast extravasation.
  • Procedure duration was 14 minutes with no complications at the access site.
  • Patient discharged after 14 days with improved hemodynamic status.

Guideline-Based Recommendations

Diagnosis

  • Emergency angiography to identify active bleeding.

Management

  • Transradial endovascular repair for iliac artery rupture.

Monitoring & Follow-up

  • Continuous hemodynamic monitoring post-procedure.

Risks

  • Potential complications include radial artery spasm, occlusion, and hand ischemia.

Patient & Prescribing Data

68-year-old male with ST-segment elevation myocardial infarction and hemorrhagic shock.

Dual antiplatelet therapy was maintained during the procedure.

Clinical Best Practices

  • Select patients with suitable upper-extremity access for transradial procedures.
  • Utilize long-shaft equipment for iliac artery interventions.
  • Ensure operator expertise in radial-to-peripheral interventions.

Related Resources & Content

Original Source(s)

Transradial Endovascular Treatment of Acute External Iliac Artery Rupture in Hemorrhagic Shock

  • by Shadi Halabi

  • September 24, 2026

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