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Case Reports
. 2021 Dec 28:37:38.
doi: 10.5758/vsi.210040.

Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report

Elisabetta Tanda  1   2 , Genadi G Genadiev  1 , Sara Zappadu  1   2 , Gabriele De Donno  1   2 , Stefano Camparini  1
Affiliations
Case Reports

Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report

Elisabetta Tanda et al. Vasc Specialist Int. .

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.

Keywords: Accidental electrocution; Dissection; Endovascular technique; Hypertension; Iliac artery.

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Conflict of interest statement

CONFLICTS OF INTEREST

The authors have nothing to disclose.

Figures

Fig. 1
Fig. 1
Computed tomographic reconstruction showed dissection from the origin of the right common iliac artery to the femoral bifurcation. Red arrows indicate the entry sites.
Fig. 2
Fig. 2
Cross-sectional images of the computed tomography scan showed the dissection of the right external iliac artery.
Fig. 3
Fig. 3
Diagnostic angiography before the endovascular revascularization confirmed the right iliofemoral dissection.
Fig. 4
Fig. 4
Completion angiography after stenting showed fully restored blood flow into the right iliofemoral axis. A hydrophilic guidewire was used to cross the true lumen of the dissected common iliac artery into the superficial femoral artery, and 2 stents were successfully deployed.
See this image and copyright information in PMC

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