Enlarged false lumen following spontaneous external iliac artery dissection-induced chronic limb threatening ischemia

Purpose: To review the clinical features and management of spontaneous iliac dissections. Case Report: A healthy 60-year-old competitive cyclist presented with acute onset of short-distance claudication following vigorous exercise. Angiography showed a dissection flap extending from the right common iliac artery to the external iliac artery. An uncovered stent was placed across the proximal entry site but did not obliterate the false lumen; open surgical intervention was required. Conclusions: Spontaneous dissection of the iliac artery is a rare but important condition to suspect in high performance athletes complaining of leg pain following exercise.

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Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images

SAGE Open Medical Case Reports ◽

10.1177/2050313x19834159 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1983415

Author(s):

Taketsugu Tsuchiya ◽

Minako Oda ◽

Takaaki Takamura ◽

Katsuhide Kitagawa ◽

Koji Kajinami ◽

...

Keyword(s):

Femoral Artery ◽

Balloon Angioplasty ◽

Iliac Artery ◽

Superficial Femoral Artery ◽

External Iliac Artery ◽

Artery Dissection ◽

Intravascular Ultrasonography ◽

Stent Deployment ◽

Atherosclerotic Stenosis ◽

Drug Coated Balloon

Early 80s male with intermitted claudication underwent endovascular therapy for atherosclerotic stenosis at left external iliac artery and middle of superficial femoral artery. Patient also had chronic atrial fibrillation, diabetes mellitus, and hypertension. After stent deployment for external iliac artery lesion, a short superficial femoral artery lesion was performed with angioplasty using drug-coated balloon. The drug-coated balloon angioplasty resulted in 50% residual stenosis with linear dissection; however, provisional stenting was not performed as decent ante-grade blood flow allowed 10 extra minutes. Medication involved ongoing use of aspirin 100 mg and rivaroxaban 15 mg. Angiography post 3 months from index procedure showed external iliac artery and superficial femoral artery patency and healing of intimal dissection at superficial femoral artery lesion was estimated by intravascular ultrasonography. In angioscopy findings, red thrombus was seen in dissection cavity.

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Successful Interventional Treatment of a Spontaneous Right Common Iliac Artery Dissection Extending Retrogradely into the Left External Iliac Artery

Journal of Vascular and Interventional Radiology ◽

10.1097/01.rvi.0000203919.91135.bd ◽

2006 ◽

Vol 17 (4) ◽

pp. 717-721 ◽

Cited By ~ 2

Author(s):

Se Hwan Kwon ◽

Joo Hyeong Oh

Keyword(s):

Iliac Artery ◽

Common Iliac Artery ◽

External Iliac Artery ◽

Artery Dissection ◽

Interventional Treatment

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Treatment of External Iliac Artery Dissection With Endovascular Stent Placement in a Patient With Simultaneous Pancreas and Kidney Transplantation

Transplantation Proceedings ◽

10.1016/j.transproceed.2005.09.040 ◽

2005 ◽

Vol 37 (8) ◽

pp. 3572-3573 ◽

Cited By ~ 11

Author(s):

T. Kimura ◽

T. Saito ◽

T. Tsuchiya ◽

A. Kenjo ◽

T. Anazawa ◽

...

Keyword(s):

Kidney Transplantation ◽

Iliac Artery ◽

Stent Placement ◽

External Iliac Artery ◽

Artery Dissection ◽

Endovascular Stent ◽

Endovascular Stent Placement

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Salvage of External Iliac Artery Dissection Immediately After Renal Transplant

Experimental and Clinical Transplantation ◽

10.6002/ect.2012.0152 ◽

2013 ◽

Vol 11 (3) ◽

pp. 274-277 ◽

Cited By ~ 6

Author(s):

Shang-Feng Tsai ◽

◽

Cheng-Hsu Chen ◽

Shih-Rong Hsieh ◽

Kuo-Hsiung Shu ◽

...

Keyword(s):

Renal Transplant ◽

Iliac Artery ◽

External Iliac Artery ◽

Artery Dissection

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Simultaneous endovascular revascularization of external iliac artery dissection and transplant renal artery stenosis in a recent renal allograft recipient

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.210035 ◽

2021 ◽

Vol 20 ◽

Author(s):

Rajesh Vijayvergiya ◽

Atit Gawalkar ◽

Ganesh Kasinadhuni ◽

Ashish Sharma ◽

Sarbpreet Singh ◽

...

Keyword(s):

Renal Transplantation ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Iliac Artery ◽

Vascular Complications ◽

External Iliac Artery ◽

Artery Stenosis ◽

Artery Dissection ◽

Renal Allograft Recipient ◽

Transplant Renal Artery Stenosis

Abstract Various vascular complications following renal transplantation include renal artery and vein thrombosis, renal artery stenosis, pseudoaneurysm, and iliac artery dissection. Transplant renal artery stenosis (TRAS) is the most common, while iliac artery dissection is the rarest of these various vascular complications. We describe an elderly male, who had both external iliac artery dissection and TRAS at 2 months following renal transplantation. He underwent successful percutaneous endovascular intervention of both complications. The post-intervention course was uneventful, with improvement in graft renal functions and left lower limb perfusion.

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