Life- and limb-saving endovascular therapy in a patient with acute abdominal aortic occlusion

Shinichi Toriumi, Tomokazu Ikemoto, Hirotaka Waki, Michiaki Nagai, Kazuo Eguchi, Masahisa Shimpo, Takaaki Katsuki, Soki Kurumisawa, Kei Aizawa, Yoshio Misawa, Kazuomi Kario

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 79-year-old man developed severe bilateral ischemic symptoms in the lower limbs. Chest-abdominal-pelvic contrast computed tomography (CT) showed acute occlusion involving the abdominal aorta, and endovascular therapy (EVT) was used as emergency treatment. Two self-expandable stents placed in the thrombus area resulted in restoration of blood flow to the lower limbs, despite limited stent expansion, and movement of these limbs. Follow-up CT showed good stent expansion. The patient had a favorable recovery without additional surgery. This case suggests that EVT might be an additional option for acute abdominal aortic occlusion if surgery or thrombolytic therapies are not possible.

Original languageEnglish
Pages (from-to)190-195
Number of pages6
JournalCardiovascular Intervention and Therapeutics
Volume32
Issue number2
DOIs
StatePublished - 1 Apr 2017
Externally publishedYes

Keywords

  • Aortic interventions
  • Endovascular therapy
  • Peripheral interventions
  • Thrombus

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