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

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