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

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

Department of Diagnostic and Interventional Neuroradiology, Yamagata City Hospital Saiseikan, Yamagata, Japan;.
Department of Neurosurgery, Yamagata City Hospital Saiseikan, Yamagata, Japan.
Department of Surgery, Yamagata City Hospital Saiseikan, Yamagata, Japan.

DOI: 10.4236/crcm.2013.22035                

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.

Keywords

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

Conflicts of Interest

The authors declare no conflicts of interest.

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