Fiorucci Beatrice, Tsilimparis Nikolaos, Rohlffs Fiona, Wipper Sabine, Debus Eike Sebastian, Kölbel Tilo
Department of Vascular Medicine, University Heart Center, Hamburg, Germany; Unit of Vascular and Endovascular Surgery, Hospital S. Maria della Misericordia, University of Perugia, Perugia, Italy.
Department of Vascular Medicine, University Heart Center, Hamburg, Germany.
Ann Vasc Surg. 2017 Jul;42:300.e1-300.e5. doi: 10.1016/j.avsg.2017.02.003. Epub 2017 Mar 7.
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.
We report false lumen embolization strategy as an adjunct to stent grafting of the true lumen.
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.
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.
髂动脉自发性夹层分离，不累及主动脉，较为罕见。目前文献中仅报道了少数几例针对这种情况的血管内治疗病例。
我们报告了将假腔栓塞策略作为真腔覆膜支架置入术的辅助手段。
一名68岁男性患者因偶然发现孤立性髂动脉夹层伴假腔动脉瘤入住我院。他接受了选择性治疗，成功进行了节段性髂动脉覆膜支架置入术，以覆盖髂总动脉的主要入口撕裂处。选择对假腔进行弹簧圈栓塞，以实现假腔动脉瘤的远端封堵。
与主动脉夹层的治疗一样，在髂动脉夹层的治疗中，也应针对假腔血栓形成。据我们所知，这是文献中报道的首例孤立性髂动脉夹层假腔栓塞病例。我们所报告的技术有效且易于重复。
