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

2005 ◽  
Vol 37 (8) ◽  
pp. 3572-3573 ◽  
Author(s):  
T. Kimura ◽  
T. Saito ◽  
T. Tsuchiya ◽  
A. Kenjo ◽  
T. Anazawa ◽  
...  
2014 ◽  
Vol 13 (3) ◽  
pp. 254-256 ◽  
Author(s):  
Murat Ozban ◽  
Cagatay Aydin ◽  
Belda Dursun ◽  
Baki Yagci ◽  
Onur Birsen ◽  
...  

We report a case of right external iliac artery stenosis after kidney transplantation surgery caused by vascular clamp application injury. The patient presented with claudication of the ipsilateral lower limb and the lesion was diagnosed angiographically. The patient was treated with endovascular stent placement.


VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Baochen Liu ◽  
Chengnan Chu ◽  
Xinxin Fan ◽  
Weiwei Ding ◽  
Xingjiang Wu

Abstract. Background: Isolated superior mesenteric artery dissection (ISMAD) is rare, especially when associated with intestinal ischaemia. We report our clinical experience managing this condition. Patients and methods: Medical records from 22 patients with ISMAD and intestinal ischaemia were retrospectively analysed. Conservative treatment was given to all patients as first line therapy. Subsequently, 15 patients received endovascular stent placement and three patients received endovascular stent placement plus intestinal resection and anastomosis. Results: After conservative treatment, the symptoms of three patients were remarkably relieved; however, a repeat contrast CT showed that stenosis was aggravated. Hence, endovascular stent placement was performed in all 15 patients. Enteral nutrition was successfully restored in 12 patients. Three patients showed signs of chronic intestinal ischaemia, including peritonitis and ileus. These patients underwent intestinal resection and anastomosis. Enteral nutrition was restored at postoperative week two. No signs of intestinal ischaemia recurred during two-years of follow-up. Conclusions: We recommend endovascular stent placement as a feasible, effective, and minimally invasive procedure in patients with ISMAD and symptoms of intestinal ischaemia.


2009 ◽  
Vol 20 (8) ◽  
pp. 1024-1030 ◽  
Author(s):  
Olivier Pellerin ◽  
Philippe Garçon ◽  
Bernard Beyssen ◽  
Alain Raynaud ◽  
Patrick Rossignol ◽  
...  

1997 ◽  
Vol 8 (3) ◽  
pp. 349-353 ◽  
Author(s):  
John F. Dyet ◽  
Peter A. Gaines ◽  
Anthony A. Nicholson ◽  
Trevor Cleveland ◽  
Alan M. Cook ◽  
...  

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 350-355 ◽  
Author(s):  
Yuan Sun ◽  
Zhaolei Chen ◽  
Xicheng Zhang

Objectives To present our experience regarding endovascular stent placement for the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) and to evaluate the safety and feasibility of the endovascular therapy. Methods The clinical data from six patients with SISMAD who underwent endovascular stent placement in two institutions from March 2010 to May 2012 were analyzed retrospectively. Four patients were implanted a self-expanding stent, and an additional stent was deployed in two of these patients after the first stent was implanted. One patient was subjected to a self-expanding stent implantation combined with coil embolization. The remaining patient underwent thrombectomy plus partial intimectomy 2 months before a balloon-expandable stent was implanted. Results All of the patients recuperated uneventfully without any reoccurrence of the symptoms in the follow-up period (range 12–38 months). Contrast-enhanced computer tomography scanning was performed 3 months after the procedure in all of the patients, and the images showed that the false lumen was nearly thrombosed and that the true lumen was maintained patent. Conclusions Endovascular stent placement is a simple and safe alternative to aggressive surgery or uncertain observation.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1983415
Author(s):  
Taketsugu Tsuchiya ◽  
Minako Oda ◽  
Takaaki Takamura ◽  
Katsuhide Kitagawa ◽  
Koji Kajinami ◽  
...  

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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