Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting

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Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting. / Fiorucci, Beatrice; Tsilimparis, Nikolaos; Rohlffs, Fiona; Wipper, Sabine; Debus, Eike Sebastian; Kölbel, Tilo.

in: ANN VASC SURG, Jahrgang 42, 07.2017, S. 300.e1-300.e5.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{3401a7f47ee2486489879a5b08e4d44e,
title = "Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting",
abstract = "BACKGROUND: Spontaneous dissection of iliac arteries, without involvement of the aorta, is rare. Only few cases of endovascular treatment of this condition are reported in the current literature.METHODS: We report false lumen embolization strategy as an adjunct to stent grafting of the true lumen.RESULTS: A 68-year-old male patient was admitted to our institution with the incidental finding of an isolated iliac dissection with a false lumen aneurysm. He was electively treated with successful segmental iliac stent grafting to cover the primary entry tear in the common iliac artery. Coil embolization of the false lumen was chosen to provide distal seal of the false lumen aneurysm.CONCLUSIONS: As in the treatment of aortic dissections, also in the iliac arteries, false lumen thrombosis should be targeted. To our knowledge, this is the first case of false lumen embolization of an isolated iliac dissection reported in literature. The technique we report was effective and could be easily reproduced.",
keywords = "Aged, Aneurysm, Dissecting/diagnostic imaging, Angiography, Digital Subtraction, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Computed Tomography Angiography, Embolization, Therapeutic, Endovascular Procedures/instrumentation, Humans, Iliac Aneurysm/diagnostic imaging, Iliac Artery/diagnostic imaging, Male, Stents, Treatment Outcome",
author = "Beatrice Fiorucci and Nikolaos Tsilimparis and Fiona Rohlffs and Sabine Wipper and Debus, {Eike Sebastian} and Tilo K{\"o}lbel",
note = "Copyright {\textcopyright} 2017 Elsevier Inc. All rights reserved.",
year = "2017",
month = jul,
doi = "10.1016/j.avsg.2017.02.003",
language = "English",
volume = "42",
pages = "300.e1--300.e5",
journal = "ANN VASC SURG",
issn = "0890-5096",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Isolated Spontaneous Dissection of the Iliac Arteries: False Lumen Embolization as an Adjunct to Percutaneous Stent Grafting

AU - Fiorucci, Beatrice

AU - Tsilimparis, Nikolaos

AU - Rohlffs, Fiona

AU - Wipper, Sabine

AU - Debus, Eike Sebastian

AU - Kölbel, Tilo

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017/7

Y1 - 2017/7

N2 - BACKGROUND: Spontaneous dissection of iliac arteries, without involvement of the aorta, is rare. Only few cases of endovascular treatment of this condition are reported in the current literature.METHODS: We report false lumen embolization strategy as an adjunct to stent grafting of the true lumen.RESULTS: A 68-year-old male patient was admitted to our institution with the incidental finding of an isolated iliac dissection with a false lumen aneurysm. He was electively treated with successful segmental iliac stent grafting to cover the primary entry tear in the common iliac artery. Coil embolization of the false lumen was chosen to provide distal seal of the false lumen aneurysm.CONCLUSIONS: As in the treatment of aortic dissections, also in the iliac arteries, false lumen thrombosis should be targeted. To our knowledge, this is the first case of false lumen embolization of an isolated iliac dissection reported in literature. The technique we report was effective and could be easily reproduced.

AB - BACKGROUND: Spontaneous dissection of iliac arteries, without involvement of the aorta, is rare. Only few cases of endovascular treatment of this condition are reported in the current literature.METHODS: We report false lumen embolization strategy as an adjunct to stent grafting of the true lumen.RESULTS: A 68-year-old male patient was admitted to our institution with the incidental finding of an isolated iliac dissection with a false lumen aneurysm. He was electively treated with successful segmental iliac stent grafting to cover the primary entry tear in the common iliac artery. Coil embolization of the false lumen was chosen to provide distal seal of the false lumen aneurysm.CONCLUSIONS: As in the treatment of aortic dissections, also in the iliac arteries, false lumen thrombosis should be targeted. To our knowledge, this is the first case of false lumen embolization of an isolated iliac dissection reported in literature. The technique we report was effective and could be easily reproduced.

KW - Aged

KW - Aneurysm, Dissecting/diagnostic imaging

KW - Angiography, Digital Subtraction

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/instrumentation

KW - Computed Tomography Angiography

KW - Embolization, Therapeutic

KW - Endovascular Procedures/instrumentation

KW - Humans

KW - Iliac Aneurysm/diagnostic imaging

KW - Iliac Artery/diagnostic imaging

KW - Male

KW - Stents

KW - Treatment Outcome

U2 - 10.1016/j.avsg.2017.02.003

DO - 10.1016/j.avsg.2017.02.003

M3 - SCORING: Journal article

C2 - 28279728

VL - 42

SP - 300.e1-300.e5

JO - ANN VASC SURG

JF - ANN VASC SURG

SN - 0890-5096

ER -