Spontaneous iliac artery dissection treated with a combination of covered and self-expandable stents to preserve hypogastric patency
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- 作者：Giovanni Spinella ; MD ; spinella.giovannisg@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Bianca Pane ; MD ; Maria Cecilia Perfumo ; MD ; Domenico Palombo ; MD
- 刊名：Journal of Vascular Surgery Cases
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：2
- 期：1
- 页码：14-17
- 全文大小：988 K
文摘
A 56-year-old man presented with abdominal pain in the left lower quadrant. Computed tomography angiography showed the presence of an iliac axis dissection.
Two Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) covered stents were placed, starting from the beginning of the left common iliac artery to the iliac bifurcation, closing the proximal dissection tear in the left common iliac artery. A self-expandable EverFlex stent (EV3-Covidien, Plymouth, Minn) was then placed, bridging the covered stent and the left external iliac artery, covering the re-entry tear.
There were no postoperative complications. During follow-up, we observed a progressive and complete thrombosis of the false lumen in 12 months.