title: Endovascular treatment of spontaneous isolated common and external iliac artery dissections with preservation of pelvic blood flow.
abstract: Spontaneous isolated dissection of iliac arteries is very rare, with few reports in the literature. Medical, surgical, and endovascular treatment modalities have all been used to manage iliac artery dissections. We report a case of symptomatic, isolated, spontaneous dissection of the common iliac and external iliac arteries. Both dissections were successfully treated by separate percutaneous stent-graft placement, preserving hypogastric artery flow. This technique is interesting because it provides adequate sealing of proximal and distal dissection sites while preserving hypogastric artery and pelvic flow.
authors.affiliation: Department of Surgery and Orthopedics, Botucatu School of Medicine, Paulista State University (UNESP), Botucatu, São Paulo, Brazil. Electronic address: ricardoyoshida@gmail.com.
authors.forename: Ricardo de Alvarenga
authors.initials: Rde A
authors.lastname: Yoshida
authors.affiliation: Catholic Hospital Group and Augusta Hospital, Düsseldorf, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Kolvenbach
authors.affiliation: Department of Surgery and Orthopedics, Botucatu School of Medicine, Paulista State University (UNESP), Botucatu, São Paulo, Brazil.
authors.forename: Paulo Roberto Bahdur
authors.initials: PR
authors.lastname: Vieira
authors.affiliation: Department of Surgery and Orthopedics, Botucatu School of Medicine, Paulista State University (UNESP), Botucatu, São Paulo, Brazil.
authors.forename: Regina
authors.initials: R
authors.lastname: Moura
authors.affiliation: Department of Surgery and Orthopedics, Botucatu School of Medicine, Paulista State University (UNESP), Botucatu, São Paulo, Brazil.
authors.forename: Rodrigo Gibin
authors.initials: RG
authors.lastname: Jaldin
authors.affiliation: Department of Surgery and Orthopedics, Botucatu School of Medicine, Paulista State University (UNESP), Botucatu, São Paulo, Brazil.
authors.forename: Winston Bonetti
authors.initials: WB
authors.lastname: Yoshida
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000098:blood supply*; D012039:Regional Blood Flow; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome