Segmental arterial calcification and atheromatosis in a limb with venous angiodysplasia (Klippel-Trenaunay syndrome).
We report a case with segmental arterial calcification and atheromatosis of the superficial femoral artery in a patient with venous angiodysplasia (Klippel-Trenaunay syndrome). Pathogenesis remained unclear. A short hemodynamically significant stenosis within the calcified segment was treated by angioplasty requiring high balloon pressure and was complicated by an arterio-venous fistula. This fistula could successfully be closed by a dacron-covered endovascular prosthesis (Cragg-stent). There is little experience with covered stents to close arterio-venous shunts and our case may encourage further use in this indication.
Hafner
J
J
Department of Internal Medicine, University Hospital of Geneva.
Didier
D
D
Christen
Y
Y
Bounameaux
H
H
D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D001161:Arteriosclerosis / Q000000981:diagnostic imaging* / Q000628:therapy; D002114:Calcinosis / Q000000981:diagnostic imaging* / Q000628:therapy; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007715:Klippel-Trenaunay-Weber Syndrome / Q000000981:diagnostic imaging*; D007866:Leg / Q000098:blood supply*; D008297:Male; D015607:Stents