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Iliac artery rupture during transluminal angioplasty: treatment by embolization and surgical bypass.

Percutaneous transluminal angioplasty (PTA) is considered by many to be the preferred treatment of iliac artery stenosis because or its effectiveness, low morbidity, and low cost [1, 2]. Reported complications [1 , 3, 4], generally minor, have included conversion of a stenosis to an occlusion, distal embolization, and rarely, perforation of the artery with a guide wire or catheter. There is only one report of rupture of an iliac artery secondary to PTA [4]. We have experienced two external iliac artery ruptures during PTA. Both were satisfactorily treated by deliberate occlusion of the iliac artery and extraanatomic surgical bypass.