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Beighton, P., De Paepe, A., Steinmann, B., Tsipouras, P. and Wenstrup, R.J. (1997) Ehlers-Danlos syndromes: Revised nosology, villefranche. American Journal of Medical Genetics, 77, 31-37. doi:10.1002/(SICI)1096-8628(19980428)77:1<31::AID-AJMG8>3.0.CO;2-O

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

  AUTHORS: Satoko Nezu, Morio Nagahata, Keisuke Onishi, Rei Kondo, Shinjiro Saito

  KEYWORDS: Ehlers-Danlos Syndrome Type IV; Peripheral Arterial Rupture; Coil Embolization

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.2 No.2, May 24, 2013

  ABSTRACT: 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.