Endovascular treatment of bilateral spontaneous dissection of common iliac artery involvement of the aorta and 3-year follow-up results

• Main Authors: Xiang-Xiang Li, Jun-Ding Hu, Cao Wu, Jia-Wei Geng, Meng Wang, Hao-Ran Wang, Wen-Bo Gao, Jun Wang
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Vascular Investigation and Therapy
• Subjects: common iliac artery; dissection; management
• Online Access: http://www.vitonline.org/article.asp?issn=2589-9686;year=2021;volume=4;issue=2;spage=54;epage=56;aulast=Li
• ISSN: 2589-9686; 2589-9481

Spontaneous dissection of the iliac artery is very rare. We report the case of a 49-year-old man who presented with spontaneous dissection of common iliac artery involvement of the aorta. We treated him by unibody bifurcated stent grafting and deployed the second stent-graft to prevent the collapse of the true lumen of the right iliac artery. For the sake of preserving pelvic blood flow, proximal type I endoleak was not treated. After 3 years, the endoleak still existed, without any aneurysmal formation. Further, the dissection of the distal external iliac artery still existence after 3 months, but the virtual disappearance after 3 years.