Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting

Fiorucci, Beatrice; Tsilimparis, Nikolaos; Rohlffs, Fiona; Wipper, Sabine; Debus, Eike Sebastian; Kölbel, Tilo

doi:10.1016/j.avsg.2017.02.003

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Cigarette smoking, dyslipidemia, hypertension, advanced age, and male sex were frequently observed in patients with SIAD, as in other cardiovascular diseases. [ 16 , 17 ] Seven patients had abdominal aortic calcification and 11 patients had calcification in the iliac arteries; therefore, we can speculate that atherosclerosis plays a dominant role in the etiology of iliac artery dissection.…”

Section: Discussionmentioning

confidence: 99%

Management of endovascular treatment in spontaneous iliac artery dissections: Applications enabling classical surgery

Sevil

Tort

2020

Turk Gogus Kalp Dama

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Background: This study aims to investigate the effectiveness of endovascular applications for the treatment of spontaneous iliac artery dissections. Methods: The medical records of 13 patients (12 males, 1 female; mean age 67.9±5.7 years; range, 58 to 75 years) with spontaneous iliac artery dissection between January 2017 and December 2019 were retrospectively reviewed. The diagnosis of spontaneous iliac artery dissection was made based on contrast-enhanced computed tomography. Demographic and clinical characteristics of the patients, physical examination and imaging findings, and hybrid treatments applied during endovascular treatment were analyzed. Results: The mean follow-up was 12.5±1.1 (range, 6 to 16) months. Five patients received hybrid treatment during endovascular treatment. The re-entry site was closed by a patch plasty over the common femoral artery in one of these patients. Embolectomy was performed in the remaining four patients for the treatment of acute ischemia of the extremities. Since no patency could be achieved in two of the patients undergoing embolectomy, a femoropopliteal bypass was performed. The technical success and primary patency rates were 100%. No new false lumen formation, intra-stent occlusion or arterial occlusion was observed during the hospital stay and follow-up. Conclusion: Endovascular methods can be safely used in the treatment of spontaneous iliac artery dissections; however, hybrid treatments may be also required in selected cases. We believe that it is effective and safe to apply endovascular and hybrid treatments without preventing possible surgical treatments which may be required in the future.

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Section: Discussionmentioning

confidence: 99%

Management of endovascular treatment in spontaneous iliac artery dissections: Applications enabling classical surgery

Sevil

Tort

2020

Turk Gogus Kalp Dama

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“…The risk of continued false lumen perfusion from distal tears has to be also taken into the account when performing an endovascular treatment. Embolisation of the false lumen can be combined with stent/stent-graft implantation to achieve an optimal result 13 …”

Section: Discussionmentioning

confidence: 99%

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

Novotný

Chlupáč

Beran

et al. 2019

EJVES Short Reports

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IntroductionIsolated iliac artery dissection (ISIAD) without the involvement of the aorta is a rare medical condition.ReportA 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.DiscussionEndovascular 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.

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Dual true and false lumen stent graft technique for endovascular repair of isolated common iliac artery aneurysm in chronic type A10 dissection

Lin¹,

Zielke²,

Zorn³

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting

Cited by 3 publications

References 14 publications

Management of endovascular treatment in spontaneous iliac artery dissections: Applications enabling classical surgery

Management of endovascular treatment in spontaneous iliac artery dissections: Applications enabling classical surgery

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

Dual true and false lumen stent graft technique for endovascular repair of isolated common iliac artery aneurysm in chronic type A10 dissection

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