[Treatment with aorto-iliac stents of acute lower limb ischemia in a patient complicating acute type B aortic dissection].
Treatment with aorto iliac endoprothesis of lower limb ischemia occuring in a patient with acute type B dissection. The mechanism was dynamic ischemia. The dissecting flap prolapsed into the iliac artery origin and narrowed the aortic true lumen above it, but without extension of the flap into the iliac artery lumen. After right iliac artery stenting, a relative left iliac artery ischemia by the shift of the dissection flap required stent implantation. Eight months later, the walking perimeter without pain was 1500m. The interest of endovascular techniques to treat visceral or lower limb ischemic complications in dissected aorta is discussed.
Chahid
T
T
Service de Radiologie, Hôpital G Montpied, 30, place Henri Dunand- BP 69, 63003 Clermont Ferrand Cedex, France.
Miguel
B
B
Mofid
R
R
Ravel
A
A
Garcier
J
J
Camilleri
L
L
Boyer
L
L
D000784:Aortic Dissection / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods*; D001014:Aortic Aneurysm / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D006801:Humans; D007083:Iliac Artery; D007383:Intermittent Claudication / Q000209:etiology; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D015642:Radiology, Interventional / Q000295:instrumentation / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016138:Walking