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KMID : 1037520210370040038
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Vascular Specialist International
2021 Volume.37 No. 4 p.38 ~ p.38
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Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report
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Tanda Elisabetta
Genadiev Genadi G.
Zappadu Sara
De Donno Gabriele
Camparini Stefano
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Abstract
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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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KEYWORD
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Dissection, Iliac artery, Endovascular technique, Accidental electrocution, Hypertension
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