Challenges and management of iliac-to-femoral artery injuries in endovascular aneurysm repair.

Antonio Marzano, Enrico Sbarigia, Carola D'Amico, Vincenzo Brizzi, Ombretta Martinelli, Simone Cuozzo

Abstract readCase Reports

In one paragraph

Article in Trauma case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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5 · Who and what money

Authors and funding

6 authors.

Antonio MarzanoVascular Surgery Unit, "Sapienza" University of Rome, Department of General Surgery, Surgical Specialties and Anesthesiology, Rome, Italy.

Enrico SbarigiaVascular Surgery Unit, "Sapienza" University of Rome, Department of General Surgery, Surgical Specialties and Anesthesiology, Rome, Italy.

Carola D'AmicoVascular Surgery Unit, "Sapienza" University of Rome, Department of General Surgery, Surgical Specialties and Anesthesiology, Rome, Italy.

Vincenzo BrizziVascular Surgery Department, Bordeaux University Hospital (CHU), Bordeaux, France.

Ombretta MartinelliVascular Surgery Unit, "Sapienza" University of Rome, Department of General Surgery, Surgical Specialties and Anesthesiology, Rome, Italy.

Simone CuozzoUnit of Vascular Surgery, Department of Cardiovascular Sciences Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Iatrogenic injuries to iliac-to-femoral arteries during complex endovascular procedures remain serious and potentially life-threatening. These events are influenced by adverse anatomy, procedural difficulties, and prolonged device manipulation. This report assesses the occurrence and risk factors associated with arterial disruption during endovascular thoracoabdominal aortic aneurysm (TAAA) repair and highlights adjunctive techniques that may optimize outcomes in challenging iliac anatomies. Case report: A 70-year-old woman underwent TEVAR and iB-EVAR with an Conclusion: Well-documented risk factors increase the likelihood of EIA injury, highlighting the need to balance patient comorbidities, anatomical challenges, and therapeutic strategies. Standardized protocols are essential for managing large-bore access, and refinements in delivery system design may further enhance procedural safety and effectiveness.

Indexed as

Branched endovascular aneurysm repairIliac artery injuriesLarge-bore access complicationsVascular surgical procedures

Identifiers

PMID42255004

DOI10.1016/j.tcr.2026.101405

PMCPMC13234208

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