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Spontaneous Isolated Common Iliac Artery Dissection Treated with Self-Expandable Stent in a 38-year-old Patient: A Case Report

机译:自膨胀性自体Common总动脉夹层术治疗38岁患者的病例报道

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IntroductionIsolated iliac artery dissection (ISIAD) without the involvement of the aorta is a rare medical condition.ReportA case of a 38-year-old man with sudden onset of rest pain and paraesthesia on the right lower limb (RLL) is presented. Upon admission, the RLL was pulseless, with mild paraesthesia in the foot. The patient underwent computed tomography angiography, which revealed isolated common iliac artery (CIA) dissection followed by endovascular treatment (stenting) of the CIA dissection, with an instant therapeutic effect. Hospital stay was uneventful. The patient was discharged on the third post-procedural day.DiscussionEndovascular treatment of ISIAD is a viable treatment modality, with low periprocedural complications, mortality, and morbidity. Owing to its mini-invasiveness, it is a viable treatment modality.
机译:前言单纯without动脉夹层清扫术(ISIAD)不累及主动脉是一种罕见的医学病状。报告报道一例38岁男性,其右下肢突然出现休息疼痛和感觉异常(RLL)。入院时,RLL无脉搏,足部感觉异常。该患者接受了计算机断层扫描血管造影,该检查显示出孤立的总动脉(CIA)解剖,然后进行了CIA解剖的血管内治疗(支架),具有即时治疗作用。住院很顺利。患者在手术后的第三天出院。讨论血管内治疗ISIAD是一种可行的治疗方式,其围手术期并发症,死亡率和发病率均较低。由于其微创性,它是一种可行的治疗方式。

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