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.