Percutaneous balloon fenestration and stent placement for lower limb ischemia complicated with type B aortic dissection.
We report a case of lower limb ischemia secondary to type B aortic dissection, which was successfully treated with endovascular aortic fenestration and stent placement. In this case, we were not able to restore adequate flow to the ischemic limb by means of aortic balloon fenestration alone, so additional stent placement was required to buttress the true lumen and fenestra. There was no recurrence of lower limb ischemia complications during the follow-up period. Aortic balloon fenestration with stent placement seems to be a safe and effective technique to salvage an ischemic lower limb complicated by acute aortic dissection.
Yamaguchi
Masato
M
Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. gucci@med.kobe-u.ac.jp
Sugimoto
Koji
K
Tsuji
Yoshihiko
Y
Ozaki
Nobuchika
N
Tsurusaki
Masakatsu
M
Taniguchi
Takanori
T
Zamora
Carlos Armando
CA
Okita
Yutaka
Y
Sugimura
Kazuro
K
D000784:Aortic Dissection / Q000150:complications* / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D015607:Stents