title: Percutaneous balloon fenestration and stent placement for lower limb ischemia complicated with type B aortic dissection.
abstract: 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.
authors.affiliation: 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
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Koji
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Tsuji
authors.forename: Nobuchika
authors.initials: N
authors.lastname: Ozaki
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Tsurusaki
authors.forename: Takanori
authors.initials: T
authors.lastname: Taniguchi
authors.forename: Carlos Armando
authors.initials: CA
authors.lastname: Zamora
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Okita
authors.forename: Kazuro
authors.initials: K
authors.lastname: Sugimura
mesh_terms: 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