Vasc Spec Int.
2021 Dec;37(4):38. 10.5758/vsi.210040.
Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report
- Affiliations
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- 1Vascular Surgery Service, Cardiovascular Department, San Michele Hospital, ARNAS “G. Brotzu, Cagliari, Monserrato, Italy
- 2Department of Surgery, University of Cagliari, Monserrato, Italy
- KMID: 2524491
- DOI: http://doi.org/10.5758/vsi.210040
Abstract
- Spontaneous isolated dissection of the iliac artery (SID-IA) is a rare pathologic condition. The predisposing factors and best treatment strategies are still being debated. We present the case of a 59-year-old male with acute right lower limb ischemia characterized by the sudden occurrence of rest pain, hypoesthesia, and paresis. Angiography showed SID-IA extending down to the femoral bifurcation. The patient had no risk factors for SID-IA; however, he survived an electrocution and had arterial hypertension at admission. Endovascular revascularization was successfully performed, with complete restoration of limb blood flow and remission of symptoms. Follow-up ultrasonography at 1 year confirmed stent patency and absence of clinical symptoms. Endovascular stenting is a good therapeutic option for symptomatic SID-IA without rupture.
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