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Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries

Masafumi Ono1, Atsushi Mizuno1, Nobuyuki Komiyama1

  • 1Department of Cardiology, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan.

Annals of Vascular Diseases
|April 2, 2019
PubMed

Insights

This study presents a successful endovascular treatment for isolated abdominal aortic dissection with common iliac artery stenosis. The procedure resolved acute limb ischemia, demonstrating a durable outcome in a patient with vascular disease.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Radiology

Background:

  • Acute limb ischemia can be caused by aortic dissection.
  • Isolated abdominal aortic dissection with common iliac artery stenosis is a rare condition.
  • Endovascular therapy offers a minimally invasive treatment option.

Purpose of the Study:

  • To describe the endovascular management of a patient with isolated abdominal aortic dissection and bilateral common iliac artery stenosis.
  • To evaluate the efficacy and safety of stent deployment for this condition.

Main Methods:

  • A 69-year-old male with acute limb ischemia underwent computed tomography and aortography.
  • Diagnosis: isolated abdominal aortic dissection with bilateral common iliac artery stenosis.
  • Treatment: Endovascular stent deployment (Palmaz XL stent) with intravascular ultrasound guidance.

Main Results:

  • Successful stent deployment at the aortic dissection primary tear.
  • Occlusion of the false lumen in bilateral common iliac arteries.
  • Resolution of symptoms of acute limb ischemia.
  • No recurrence during 14 months of follow-up.

Conclusions:

  • Endovascular therapy is a viable and effective treatment for isolated abdominal aortic dissection with common iliac artery stenosis.
  • Stent deployment can successfully treat associated iliac artery lesions and restore limb perfusion.
  • This approach offers a durable solution with good long-term outcomes.

Keywords:
acute limb ischemiaendovascular therapyisolated abdominal aortic dissection

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