Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients?
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 p...
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| Format: | Article |
| Language: | English |
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Medrang
2021-12-01
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| Series: | Vascular Specialist International |
| Online Access: | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.213741 |
| Summary: | 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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| ISSN: | 2288-7970 2288-7989 |