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

A 69-year-old male patient was admitted to our hospital due to sudden right leg pain and paralysis when walking, which was suspected to be acute limb ischemia. Computed tomography and aortography revealed isolated abdominal aortic dissection with bilateral common iliac artery (CIA) stenosis. Endovas...

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Autores principales: Ono, Masafumi, Mizuno, Atsushi, Komiyama, Nobuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434356/
https://www.ncbi.nlm.nih.gov/pubmed/30931070
http://dx.doi.org/10.3400/avd.cr.18-00140
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author Ono, Masafumi
Mizuno, Atsushi
Komiyama, Nobuyuki
author_facet Ono, Masafumi
Mizuno, Atsushi
Komiyama, Nobuyuki
author_sort Ono, Masafumi
collection PubMed
description A 69-year-old male patient was admitted to our hospital due to sudden right leg pain and paralysis when walking, which was suspected to be acute limb ischemia. Computed tomography and aortography revealed isolated abdominal aortic dissection with bilateral common iliac artery (CIA) stenosis. Endovascular therapy was performed. A Palmaz XL stent (20×40 mm) was deployed on the aortic dissection with intravascular ultrasound assistance. Subsequently, CIA lesions disappeared. Stent deployment at the aortic dissection primary tear resulted in occlusion of the false lumen of the distal dissection of the bilateral CIAs. Postoperatively, his symptoms disappeared, with no recurrence during 14 months of follow-up.
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spelling pubmed-64343562019-03-29 Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries Ono, Masafumi Mizuno, Atsushi Komiyama, Nobuyuki Ann Vasc Dis Case Report A 69-year-old male patient was admitted to our hospital due to sudden right leg pain and paralysis when walking, which was suspected to be acute limb ischemia. Computed tomography and aortography revealed isolated abdominal aortic dissection with bilateral common iliac artery (CIA) stenosis. Endovascular therapy was performed. A Palmaz XL stent (20×40 mm) was deployed on the aortic dissection with intravascular ultrasound assistance. Subsequently, CIA lesions disappeared. Stent deployment at the aortic dissection primary tear resulted in occlusion of the false lumen of the distal dissection of the bilateral CIAs. Postoperatively, his symptoms disappeared, with no recurrence during 14 months of follow-up. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-03-25 /pmc/articles/PMC6434356/ /pubmed/30931070 http://dx.doi.org/10.3400/avd.cr.18-00140 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Ono, Masafumi
Mizuno, Atsushi
Komiyama, Nobuyuki
Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title_full Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title_fullStr Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title_full_unstemmed Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title_short Successful Endovascular Therapy for Isolated Abdominal Aortic Dissection Involving Bilateral Common Iliac Arteries
title_sort successful endovascular therapy for isolated abdominal aortic dissection involving bilateral common iliac arteries
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434356/
https://www.ncbi.nlm.nih.gov/pubmed/30931070
http://dx.doi.org/10.3400/avd.cr.18-00140
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