Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report.
Elisabetta TandaGenadi G GenadievSara ZappaduGabriele De DonnoStefano CampariniPublished in: Vascular specialist international (2021)
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.
Keyphrases
- blood flow
- aortic dissection
- arterial hypertension
- endovascular treatment
- chronic pain
- emergency department
- optical coherence tomography
- computed tomography
- magnetic resonance imaging
- neoadjuvant chemotherapy
- percutaneous coronary intervention
- case report
- sleep quality
- coronary artery bypass grafting
- pain management
- antiplatelet therapy
- drug induced
- spinal cord injury
- contrast enhanced
- neuropathic pain
- squamous cell carcinoma
- acute coronary syndrome
- radiation therapy
- spinal cord
- physical activity
- depressive symptoms
- extracorporeal membrane oxygenation
- atrial fibrillation