Bilateral Dissection of External Iliac Artery

Fukui, Sumio; Chelbi, Emira; Paraskevas, Nikolaos; Soury, Patrick; Gigou, Frédéric; Petit, M; Laurian, Claude

doi:10.1016/j.avsg.2006.06.016

Cited by 13 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is a single case report of dissection occurring on the opposite side after a return to highlevel cycling after contralateral dissection in the absence of endofibrosis. 11 Endofibrosis development has been linked to both anatomic and mechanical factors. Studies of affected athletes have noted tethering of the external iliac artery (EIA) to the psoas muscle in 50% to 64% of cases.…”

Section: Case Reportmentioning

confidence: 99%

External iliac artery dissection secondary to endofibrosis in a cyclist

Willson

Revesz

Podbielski

et al. 2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

Endofibrosis of the external iliac artery is an uncommon disease affecting primarily young, otherwise healthy, endurance athletes. Thigh pain during maximal exercise with quick resolution postexercise is characteristic of the so-called cyclist's iliac syndrome. We report an unusual case in which the typical endofibrotic plaque was accompanied by dissection of the external iliac artery. The patient was treated surgically with excision of the affected artery segment and placement of an interposition graft. This case highlights an unusual finding in association with external iliac artery endofibrosis and provides an opportunity to briefly review the literature on the subject.

show abstract

Section: Case Reportmentioning

confidence: 99%

External iliac artery dissection secondary to endofibrosis in a cyclist

Willson

Revesz

Podbielski

et al. 2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Esta entidad clínica habitualmente se manifiesta por dolor en la región inguinal del lado involucrado, con dos formas de presentación: algunos pacientes que cursan con claudicación progresiva de días o meses de evolución o, como en nuestro caso, con isquemia aguda de la extremidad comprometida. Habitualmente se compromete una sola extremidad, pero existen reportes de compromiso bilateral [5][6][7] , generalmente se presenta en mayores de 40 años, especialmente en aquellos casos relacionados con ejercicio 2,8,9 . Dentro de los métodos diagnósticos se encuentran la ecotomografía Doppler, la cual permitiría ver la zona de disección y los cambios hemodinámicos asociados a ella, con disminución del flujo arterial distal, pero es la angiotomografía computarizada la que nos aporta mayor información respecto a la confirmación del diagnóstico, localización y extensión de la lesión y la posible coexistencia de otras lesiones arteriales que orienten a la etiología del cuadro, así como permite la planificación de la terapia.…”

Section: Discussionunclassified

“…Respecto a las opciones terapéuticas, desde las primeras descripciones de casos de esta entidad, se han planteado el manejo conservador 6 , la reconstrucción quirúrgica 2,4,8,10,11 y la reparación endovascular con stents 5,[11][12][13] , siendo actualmente esta terapia de elección por representar una alternativa menos invasiva y con muy buenos resultados, como en el caso de este paciente.…”

Section: Discussionunclassified

Disección espontánea de arteria ilíaca asociada a ejercicio y uso de ergotamina

G¹,

R²,

F³

et al. 2012

Rev Chil Cir

View full text Add to dashboard Cite

Spontaneous dissection of iliac artery related with excercise and ergotamine. A case reportIntroduction: Spontaneous dissection of the iliac artery (SDIA) is an extremely rare clinical manifestation, associated to different etiologies, and it usually shows an ischemia of the involved lower extremity. Clinical case: We report a case of a 48-year-old man, with past medical history of chronicle consumption of ergotamine, which presented left lower limb ischemia, while practicing physical exercise. An emergent contrast-enhanced computed tomography scan showed a spontaneous dissection of the common and the external left iliac artery. An endovascular therapy of the lesion was performed with self-expanding stents, achieving the reconstruction of the lesion, the recovery of the blood flow and of the lower limb ischemia. Conclusions: There are no previous descriptions of the association between ergotamine consumption, sport and this very rare pathology. Endovascular treatment represents a less invasive and, such as in our case report, successful management of the SDIA, and it should be considered among the alternative therapies.

show abstract

“…Optimal treatments include conservative medication, open surgery, and endovascular treatment. 1 – 6 ) We report a case of bilateral EIA dissection in a middle-aged male athlete. On the basis of the patient’s history, we decided to perform open surgery; the operation was successful.…”

Section: Introductionmentioning

confidence: 99%

Bilateral External Iliac Artery Dissection in a Middle-Aged Male Athlete

Yamanaka

Yoshida

Nagaoka

2017

Annals of Vascular Diseases

View full text Add to dashboard Cite

We present the case of a bilateral external iliac artery (EIA) dissection in a 44-year-old male athlete. The patient was referred to our department for right lower abdominal pain without claudication during single squatting. His athletic history included participation in approximately five athletic events per year. Contrast-enhanced computed tomography (CT) revealed bilateral EIA dissection and right renal infarction. Following medical treatment for his hypertension and considering his medical history, a bilateral EIA replacement with 8-mm Dacron straight grafts was performed on the 24th day after hospital admission. Postoperative contrast-enhanced CT revealed good bilateral graft patency and perfusion following surgery.

show abstract

Bilateral Dissection of External Iliac Artery

Cited by 13 publications

References 3 publications

External iliac artery dissection secondary to endofibrosis in a cyclist

External iliac artery dissection secondary to endofibrosis in a cyclist

Disección espontánea de arteria ilíaca asociada a ejercicio y uso de ergotamina

Bilateral External Iliac Artery Dissection in a Middle-Aged Male Athlete

Contact Info

Product

Resources

About