Spontaneous Common Iliac Artery Dissection after Exercise

2003 ◽  
Vol 10 (1) ◽  
pp. 163-166 ◽  
Author(s):  
Lip Gen Teh ◽  
Kishore Sieunarine ◽  
Greg van Schie ◽  
Thodur Vasudevan
Keyword(s):  
Iliac Artery ◽  
High Performance ◽  
Common Iliac Artery ◽  
False Lumen ◽  
External Iliac Artery ◽  
Acute Onset ◽  
Leg Pain ◽  
Artery Dissection ◽  
Entry Site ◽  
Vigorous Exercise

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.

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

2020 ◽  
Vol 28 (4) ◽  
pp. 601-608
Author(s):  
Fehim Can Sevil
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
False Lumen ◽  
Arterial Occlusion ◽  
Primary Patency ◽  
Artery Dissection ◽  
Acute Ischemia ◽  
Entry Site ◽  
Stent Occlusion

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.

Spontaneous Common Iliac Artery Dissection After Exercise

2003 ◽  
Vol 10 (1) ◽  
pp. 163-166 ◽  
Author(s):  
Lip Gen Teh ◽  
Kishore Sieunarine ◽  
Greg van Schie ◽  
Thodur Vasudevan
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Dissection

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

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.

Symptomatic Type B Intramural Aortic Hematoma as a Complication of Retrograde Right Common Iliac Artery Dissection

2018 ◽  
Vol 49 ◽  
pp. 313.e9-313.e15
Author(s):  
Alessia Sonetto ◽  
Mauro Gargiulo ◽  
Enrico Gallitto ◽  
Stefano Ancetti ◽  
Gianluca Faggioli ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Dissection ◽  
Type B
Sign in / Sign up

Export Citation Format

Share Document