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, Vol. 42, 07.2017, p. 300.e1-300.e5.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -