scholarly journals Management of a Spontaneous Dissection of the Right External Artery

2021 ◽  
Vol 4 (5) ◽  
pp. 01-04
Author(s):  
Majdi Gueldich ◽  
Héla Ben Jemâa ◽  
Saif Hadhri ◽  
Nawel Hchaichi ◽  
Aymen Damak ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Open Repair ◽  
Rare Event ◽  
Vascular Diseases ◽  
External Iliac Artery ◽  
Limb Ischemia ◽  
Artery Dissection ◽  
History Of ◽  
The Right ◽  
Spontaneous Dissection

Introduction: Isolated spontaneous iliac artery dissection is a rare event that is usually linked to connective disorders. There is no established consensus yet on treatment modality. Case report: we report the case of a 44 years old patient with no history of vascular diseases or trauma who was admitted in our institution for a spontaneous dissection of the right external iliac artery. Conclusion: management of spontaneous iliac artery dissection is not well defined. In fact, patients could be safely managed with medical therapy in the absence of signs of complications. Endovascular and open repair are reserved for patients with complications like limb ischemia or imminent artery rupture.

Unusual cause of intermittent claudication

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 257-259 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Blum ◽  
Labs ◽  
Jaeger
Keyword(s):  
Iliac Artery ◽  
Similar Case ◽  
Rare Event ◽  
External Iliac Artery ◽  
Peripheral Artery ◽  
Spontaneous Healing ◽  
Non Invasive ◽  
Left Calf ◽  
Spontaneous Dissection ◽  
Leg Ischemia

Spontaneous dissection of a peripheral artery is a rare event. We report a case of a spontaneous, non-atherosclerotic and non-aneurysmal dissection limited to the external iliac artery in a 60-year-old woman who was admitted with a left calf claudication. Non-invasive examination documented signs of leg ischemia due to a floating wall dissection of the external iliac artery. After medical treatment over eight weeks the dissection membrane had been adapted to the vessel wall. A similar case of a spontaneous dissection limited to the external iliac artery, followed by a spontaneous healing has not been reported in the literature.

Case 16.11

2014 ◽  
pp. 779-780
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Common Femoral Artery ◽  
Severe Stenosis ◽  
Iliac Arteries ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

22-year-old man with a history of multiple episodes of bleeding, bruising, and hematomas Coronal VR image from 3D CE MRA of the abdomen and pelvis (Figure 16.11.1) reveals lobulated aneurysms of both external iliac arteries and the right common femoral artery. Note the severe stenosis of the left external iliac artery distal to the aneurysm....

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.

scholarly journals Midterm Outcomes after Primary Stenting in Treatment of Atherosclerotic Iliac Arteries

2021 ◽  
Author(s):  
Mehmet Atay ◽  
Onur Saydam ◽  
Deniz Şerefli ◽  
Ayşen Yaprak Engin ◽  
Burçin Abud ◽  
...  
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Limb Ischemia ◽  
Lesion Length ◽  
Covered Stents ◽  
Complication Rates ◽  
Iliac Arteries ◽  
Primary Stenting ◽  
Stent Diameter ◽  
Severe Calcification

IntroductionThe purpose of this study was to report the midterm outcomes of primary stenting of iliac arteries with additional factors which affect the outcome and to compare the results between patients with simple and complex aorta iliac occlusive disease (AOID).Material and methodsFrom January 2015 and March 2018, the study consisted of 103 lesions in 93 patients with common iliac artery (CIA) and/or external iliac artery (EIA) lesions which accompanied with severe claudication or critical limb ischemia. Balloon-expandable stents (BMS), self-expandable stents (SES) and covered stents (CS) were used to treat the lesions.ResultsLesions of 93 patients that were in CIA and/or EIA and treated with ET were included to the study (n=103). Seventy-one (68.9%) lesions were classified as simple AIOD group (TASCII A-B) while 32(31.1%) were classified as complex AIOD (TASCII C-D) group. In 72.8% of the lesions only mild calcification was detected while 27.2% lesions had moderate or severe calcification. Mean stent diameter for CIA position was 8.26±0.8mm and for EIA position was 7.52±0.8mm. Mean lesion length in patients treated with BMS were 52.5±21.0mm while SES were 63.6±28.3(p=0.03). Technical success was achieved in 101(98.1%) lesions. Significant differences in primary (93% vs 63%) and secondary (98% vs 82%) patency rates at 24 months were found between patients in simple and complex AIOD group (p<0.001 p=0.001)ConclusionsConclusion: In our study, it was found that the primary stenting in patients who had AIOD had satisfactory results with high immediate success, low complication rates and acceptable midterm outcomes.

Lateral Sacral Artery Aneurysm: Case Report and Review of the Literature

Neurosurgery ◽  
2005 ◽  
Vol 57 (1) ◽  
pp. E197-E197 ◽  
Author(s):  
Michaël Bruneau ◽  
Pierre Goffette ◽  
Guy Cosnard ◽  
Denis Rommel ◽  
Christian Raftopoulos
Keyword(s):  
Renal Transplantation ◽  
Medical History ◽  
Iliac Artery ◽  
Cauda Equina ◽  
Artery Aneurysm ◽  
Treatment Modalities ◽  
Spinal Epidural Hematoma ◽  
Mri Scan ◽  
History Of ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE: We report the third case of an aneurysm of the lateral sacral artery (AnLSA). In all cases, because of an incorrect preoperative diagnosis, the surgeons were confronted with severe and unexpected hemorrhaging, and surgery was aborted without effective treatment. Our purpose is to present the preoperative features of AnLSA and its treatment modalities. CLINICAL PRESENTATION: A 54-year-old man had a medical history of renal transplantation on his left external iliac artery. He complained of acute lumbar pain associated with cauda equina syndrome, which resolved within a few hours. At that time, a magnetic resonance imaging (MRI) scan revealed an intracanal hematoma extending from S1 to T12. Six weeks later, a second MRI scan demonstrated an oval-shaped intracanal mass behind the vertebral body of S1 with intense gadolinium enhancement. INTERVENTION: An anterior epidural mass was found. An incision into this mass resulted in significant arterial hemorrhaging. Transparietal embolization with a cotton compress and closure of the aneurysm wall were performed. The postoperative clinical status was stable, and a delayed angiographic study suggested a diagnosis of aneurysm of the right LSA, a branch of the internal iliac artery. Its pathophysiology was explained by the development of a high-flow transpelvic shunt from the right iliac artery territory to the left, to maintain the renal graft blood flow that had initially been reduced by stenosis of the left common iliac artery. Six weeks later, a new MRI scan demonstrated that the AnLSA had increased in size. The lesion was then excluded endovascularly by injection of glue. CONCLUSION: A medical history of renal transplantation with MRI scans showing an anterior epidural mass behind S1 or a spontaneous spinal epidural hematoma are features that must evoke a diagnosis of AnLSA. Treatment is mandatory and is best achieved by embolization. Surgery based on angiographic findings is indicated if the lesion is responsible for a compressive hematoma.

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