Spontaneous Isolated Dissection of Iliac Artery Treated with Endovascular Repair: A Case Report

Vasc Specialist Int. 2021 Dec 28:37:38. doi: 10.5758/vsi.210040.

Abstract

Spontaneous isolated dissection of the iliac artery (SID-IA) is a rare pathologic condition. The predisposing factors and best treatment strategies are still being debated. We present the case of a 59-year-old male with acute right lower limb ischemia characterized by the sudden occurrence of rest pain, hypoesthesia, and paresis. Angiography showed SID-IA extending down to the femoral bifurcation. The patient had no risk factors for SID-IA; however, he survived an electrocution and had arterial hypertension at admission. Endovascular revascularization was successfully performed, with complete restoration of limb blood flow and remission of symptoms. Follow-up ultrasonography at 1 year confirmed stent patency and absence of clinical symptoms. Endovascular stenting is a good therapeutic option for symptomatic SID-IA without rupture.

Keywords: Accidental electrocution; Dissection; Endovascular technique; Hypertension; Iliac artery.

Publication types

  • Case Reports