Transradial Endovascular Treatment of Acute External Iliac Artery Rupture in Hemorrhagic Shock - Summary - 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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Objective:

To report the use of transradial access for the endovascular management of acute external iliac artery rupture in a patient with hemorrhagic shock.

Approach:
  • Case Report: A 68-year-old man with ST-segment elevation myocardial infarction and cardiogenic shock underwent primary PCI and subsequent interventions. After a suspected iatrogenic external iliac artery rupture, emergency angiography and repair were performed via left radial access.
Key Findings:
  • Transradial access was successfully used to manage acute external iliac artery rupture.
  • The procedure eliminated active contrast extravasation and improved hemodynamic status.
  • No complications were observed at the radial access site or in the lower extremities.
Interpretation:

Transradial access can be a feasible bailout strategy for life-threatening iliac artery injury in selected patients, offering a lower incidence of vascular complications compared to femoral access.

Limitations:
  • Device selection is limited by the available 6F R2P sheaths and the extensive radial-to-iliac distance.
  • Marked iliac tortuosity or calcification can impair device deliverability.
  • Potential complications include radial artery spasm, occlusion, and hand ischemia.
Conclusion:

Transradial endovascular therapy is a viable option for acute external iliac artery rupture when other access routes are not suitable.

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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