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

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.