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 |
| _version_ | 1797960246560292864 |
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| author | Seung-Kee Min |
| author_facet | Seung-Kee Min |
| author_sort | Seung-Kee Min |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T00:43:15Z |
| format | Article |
| id | doaj.art-18690563aa18411db6d2375f2c412b84 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 2288-7989 |
| language | English |
| last_indexed | 2024-04-11T00:43:15Z |
| publishDate | 2021-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-18690563aa18411db6d2375f2c412b842023-01-06T01:29:53ZengMedrangVascular Specialist International2288-79702288-79892021-12-013710.5758/vsi.213741vsi.213741Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients?Seung-Kee Min0Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaSpontaneous 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.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.213741 |
| spellingShingle | Seung-Kee Min Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? Vascular Specialist International |
| title | Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? |
| title_full | Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? |
| title_fullStr | Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? |
| title_full_unstemmed | Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? |
| title_short | Controversies in the Treatment of Abdominal Aortic Aneurysm (I): Is the NICE Guideline Nice to Patients? |
| title_sort | controversies in the treatment of abdominal aortic aneurysm i is the nice guideline nice to patients |
| url | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.213741 |
| work_keys_str_mv | AT seungkeemin controversiesinthetreatmentofabdominalaorticaneurysmiistheniceguidelinenicetopatients |