Successful coil embolization with a basic technique for ruptured posterior tibial artery in a patient with Ehlers-Danlos syndrome type IV: A case report  

作　　者：Satoko Nezu Morio Nagahata Keisuke Onishi Rei Kondo Shinjiro Saito 

机构地区：[1]Department of Diagnostic and Interventional Neuroradiology, Yamagata City Hospital Saiseikan, Yamagata, Japan [2]Department of Neurosurgery, Yamagata City Hospital Saiseikan, Yamagata, Japan [3]Department of Surgery, Yamagata City Hospital Saiseikan, Yamagata, Japan

出　　处：《Case Reports in Clinical Medicine》2013年第2期131-134,共4页临床医学病理报告（英文）

摘　　要：The surgical management of vascular complication with Ehlers-Danlos Syndrome type IV (EDS-IV) is extremely challenging because of its tissue or organ fragility including arteries. Less traumatic maneuvers and devices have been recommended to perform the endovascular treatment for the vascular lesion of EDS-IV, although the endovascular procedure is less invasive than surgical intervention. We report a 23-year-old man with EDS-IV suffered from left posterior tibial arterial rupture. We performed internal trapping of the ruptured segment using detachable coils with a standard technique via the contralateral femoral artery puncture. The patient was discharged without any complication associated with the endovascular procedure. Embolization by a basic technique, performed with greatest care, is a safe and useful treatment option which we radiologists should try for managing EDS-IV patients.The surgical management of vascular complication with Ehlers-Danlos Syndrome type IV (EDS-IV) is extremely challenging because of its tissue or organ fragility including arteries. Less traumatic maneuvers and devices have been recommended to perform the endovascular treatment for the vascular lesion of EDS-IV, although the endovascular procedure is less invasive than surgical intervention. We report a 23-year-old man with EDS-IV suffered from left posterior tibial arterial rupture. We performed internal trapping of the ruptured segment using detachable coils with a standard technique via the contralateral femoral artery puncture. The patient was discharged without any complication associated with the endovascular procedure. Embolization by a basic technique, performed with greatest care, is a safe and useful treatment option which we radiologists should try for managing EDS-IV patients.

关 键 词：EHLERS-DANLOS Syndrome Type IV PERIPHERAL ARTERIAL RUPTURE Coil EMBOLIZATION 

分 类 号：R73[医药卫生—肿瘤]