Successful PTA and stenting for acute iliac arterial injury following pancreas transplantation.

Iliac artery injuries may occur during solid organ transplantation. We describe an approach to an iliac artery clamp injury after pancreatic allotransplantation. The patient is a 48-year-old diabetic male who underwent successful cadaveric pancreatico-duodenal transplantation complicated by a left common iliac artery clamp injury. The injury resulted in both graft and lower leg ischemia. The injury was recognized promptly and diagnosed by magnetic resonance angiogram (MRA). The lesion was successfully treated with percutaneous transluminal angioplasty and stenting with resolution of both graft and leg ischemia. We propose this technique as a minimally invasive approach to an iliac injury that can be used to treat vascular injuries during solid organ transplantation.