EJVES Short Reports (Jan 2019)

Spontaneous Isolated Common Iliac Artery Dissection Treated with Self-Expandable Stent in a 38-year-old Patient: A Case Report

  • Robert Novotny,
  • Jaroslav Chlupac,
  • Jan Beran,
  • Libor Janousek,
  • Jiri Fronek

Journal volume & issue
Vol. 42
pp. 4 – 6

Abstract

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Introduction: Isolated iliac artery dissection (ISIAD) without the involvement of the aorta is a rare medical condition. Report: A case of a 38-year-old man with sudden onset of rest pain and paraesthesia on the right lower limb (RLL) is presented. Upon admission, the RLL was pulseless, with mild paraesthesia in the foot. The patient underwent computed tomography angiography, which revealed isolated common iliac artery (CIA) dissection followed by endovascular treatment (stenting) of the CIA dissection, with an instant therapeutic effect. Hospital stay was uneventful. The patient was discharged on the third post-procedural day. Discussion: Endovascular treatment of ISIAD is a viable treatment modality, with low periprocedural complications, mortality, and morbidity. Owing to its mini-invasiveness, it is a viable treatment modality. Keywords: Connective tissue, Disorder, Dissection, Iliac artery