Catheter-induced straightening of external iliac tortuosity: A cause of pseudostenosis to be borne in mind

Carlo Trani, Francesco Burzotta, Filippo Crea, Elisa Romagnoli, Antonio Abbate, Flavia Belloni, Mario Attilio Mazzari

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)

Abstract

Reversible vascular obstructive lesions, i.e. pseudostenoses, may pose significant threats to interventional cardiologists as they can be mistaken for obstructive lesions and prompt inappropriate revascularization procedures. We hereby report for the first time in the literature a case of external iliac artery pseudostenosis due to catheter straightening of significant underlying vessel tortuosities. Despite the initial angiographic image obtained from retrograde catheterization of the right external iliac artery which was strongly suggestive for significant stenosis, a thorough review of clinical history, physical examination and a second-look angiography by means of contralateral catheterization and contrast injection showed the absence of any significant lesion in the tortuous left external iliac artery, thus avoiding an unnecessary and potentially harmful vascular intervention. This clinical vignette emphasizes the importance of a thorough clinical examination and angiographic assessment for the appropriate diagnosis and management of reversible stenoses. © 2004 Elsevier Ireland Ltd. All rights reserved.
Lingua originaleEnglish
pagine (da-a)333-334
Numero di pagine2
RivistaINTERNATIONAL JOURNAL OF CARDIOLOGY
Volume101
DOI
Stato di pubblicazionePubblicato - 2005

Keywords

  • Atherosclerosis
  • Interventional cardiology
  • Peripheral artery disease
  • Pseudostenosis
  • Aged
  • Arterial Occlusive Diseases
  • Iliac Artery
  • Diagnosis, Differential
  • Humans
  • Male
  • Radiography
  • Torsion Abnormality
  • Catheterization, Peripheral

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