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

Robert Novotny; Jaroslav Chlupac; Jan Beran; Libor Janousek; Jiri Fronek

doi:10.1016/j.ejvssr.2018.11.001

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

EJVES Short Rep. 2018 Dec 10:42:4-6. doi: 10.1016/j.ejvssr.2018.11.001. eCollection 2019.

Authors

Robert Novotny¹, Jaroslav Chlupac^{1

2}, Jan Beran³, Libor Janousek^{1

4}, Jiri Fronek^{1

2}

Affiliations

¹ Transplant Surgery Department, Institute for Clinical and Experimental Medicine Prague, Czech Republic.
² Second Faculty of Medicine, Charles University, Prague, Czech Republic.
³ Department of Radiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
⁴ First Faculty of Medicine, Charles University, Prague, Czech Republic.

Abstract

Introduction: Isolated iliac artery dissection (ISIAD) without the involvement of the aorta is a rare medical condition.

Report: A 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.

Discussion: Endovascular 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.

Keywords: Connective tissue; Disorder; Dissection; Iliac artery.

Publication types

Case Reports