It was reported that a perforation occurred in the right external iliac.A 9mm x 40mm epic stent, a 7mm x 60mm eluvia stent and 7mm x 40mm mustang were selected for the treatment of peripheral vascular disease in the external iliac.The lesion was pre-dilated with a 5mm x 100mm mustang balloon followed by an arteriogram to mark the landing zones.A 9mm x 40mm epic stent and a 7mm x 60mm eluvia stent were placed to treat the lesion.Post dilation was performed with a 7mm x 40mm mustang.The certified rn anesthetist noticed changes in the patient's carbon dioxide levels and blood pressure.Repeat arteriograms were performed reveling a perforation in the right external iliac.Hypotension and blood loss were reported as a result of the perforation.It was thought that the perforation possibly occurred during post dilation of the stents and calcification of the lesion contributed to the perforation.The perforation was treated using a non-boston scientific stent and multiple long balloon inflations.There were no patient complications reported after the perforation was treated.The patient was stable after the procedure.
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