open access

Vol 16, No 2 (2010)
Case reports
Published online: 2010-07-13
Get Citation

Endovascular treatment of Leriche’s syndrome (type D TASC II)

Mieczysław Grodowski, Marek Motyka, Tomasz Ruciński, Rafał Boczej
Acta Angiologica 2010;16(2):78-84.

open access

Vol 16, No 2 (2010)
Case reports
Published online: 2010-07-13

Abstract


Background. Chronic lower limb ischaemia due to the Leriche’s syndrome caused by an iliac artery occlusion type D (according to TASC II classification) is treated with a standard bypass aortic-bi-iliac procedure. In some cases, endovascular techniques can be used, like a subintimal balloon angioplasty with a stent implantation to the iliac arteries.
Material and methods. This paper presents the case of a 48-year-old woman with quite intensive, long-lasting chronic lower limb ischaemia due to a background of iliac artery occlusion. The patient was subject to a bilateral subintimal balloon angioplasty of the iliac arteries with a stent implantation and its own vein patch angioplasty of the left femoral common artery.
Results. There were no complications observed in the post-surgery period. Previously observed limb pain aliments were gone, and the ankle–brachial pressure index (ABPI) control check was 0.91 on the right side, and 1.0 on the left side.
Conclusions. The described case proves the effectiveness, safety, and wide spectrum of possibilities for endovascular treatment of Leriche’s syndrome caused by iliac artery occlusion. The future will probably bring further development and popularization of endovascular surgery.
Acta Angiol 2010; 16, 2: 78-84

Abstract


Background. Chronic lower limb ischaemia due to the Leriche’s syndrome caused by an iliac artery occlusion type D (according to TASC II classification) is treated with a standard bypass aortic-bi-iliac procedure. In some cases, endovascular techniques can be used, like a subintimal balloon angioplasty with a stent implantation to the iliac arteries.
Material and methods. This paper presents the case of a 48-year-old woman with quite intensive, long-lasting chronic lower limb ischaemia due to a background of iliac artery occlusion. The patient was subject to a bilateral subintimal balloon angioplasty of the iliac arteries with a stent implantation and its own vein patch angioplasty of the left femoral common artery.
Results. There were no complications observed in the post-surgery period. Previously observed limb pain aliments were gone, and the ankle–brachial pressure index (ABPI) control check was 0.91 on the right side, and 1.0 on the left side.
Conclusions. The described case proves the effectiveness, safety, and wide spectrum of possibilities for endovascular treatment of Leriche’s syndrome caused by iliac artery occlusion. The future will probably bring further development and popularization of endovascular surgery.
Acta Angiol 2010; 16, 2: 78-84
Get Citation

Keywords

Leriche’s syndrome; bypass aortic-bifemoralis; stent; subintimal balloon angioplasty

About this article
Title

Endovascular treatment of Leriche’s syndrome (type D TASC II)

Journal

Acta Angiologica

Issue

Vol 16, No 2 (2010)

Pages

78-84

Published online

2010-07-13

Bibliographic record

Acta Angiologica 2010;16(2):78-84.

Keywords

Leriche’s syndrome
bypass aortic-bifemoralis
stent
subintimal balloon angioplasty

Authors

Mieczysław Grodowski
Marek Motyka
Tomasz Ruciński
Rafał Boczej

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl