Tanda Elisabetta, Genadiev Genadi G, Zappadu Sara, Donno Gabriele De, Camparini Stefano
Vascular Surgery Service, Cardiovascular Department, San Michele Hospital, ARNAS "G. Brotzu.
Department of Surgery, University of Cagliari, Monserrato, Italy.
Vasc Specialist Int. 2021 Dec 28;37:38. doi: 10.5758/vsi.210040.
Spontaneous isolated dissection of the iliac artery (SID-IA) is a rare pathologic condition. The predisposing factors and best treatment strategies are still being debated. We present the case of a 59-year-old male with acute right lower limb ischemia characterized by the sudden occurrence of rest pain, hypoesthesia, and paresis. Angiography showed SID-IA extending down to the femoral bifurcation. The patient had no risk factors for SID-IA; however, he survived an electrocution and had arterial hypertension at admission. Endovascular revascularization was successfully performed, with complete restoration of limb blood flow and remission of symptoms. Follow-up ultrasonography at 1 year confirmed stent patency and absence of clinical symptoms. Endovascular stenting is a good therapeutic option for symptomatic SID-IA without rupture.
自发性孤立性髂动脉夹层（SID-IA）是一种罕见的病理状况。其诱发因素和最佳治疗策略仍存在争议。我们报告一例59岁男性，表现为急性右下肢缺血，特征为突发静息痛、感觉减退和轻瘫。血管造影显示SID-IA向下延伸至股动脉分叉处。该患者无SID-IA的危险因素；然而，他曾遭受电击伤，入院时患有动脉高血压。成功进行了血管内血运重建，肢体血流完全恢复，症状缓解。1年的随访超声检查证实支架通畅且无临床症状。对于未破裂的有症状SID-IA，血管内支架置入是一种良好的治疗选择。
