title: Life- and limb-saving endovascular therapy in a patient with acute abdominal aortic occlusion.
abstract: A 79-year-old man developed severe bilateral ischemic symptoms in the lower limbs. Chest-abdominal-pelvic contrast computed tomography (CT) showed acute occlusion involving the abdominal aorta, and endovascular therapy (EVT) was used as emergency treatment. Two self-expandable stents placed in the thrombus area resulted in restoration of blood flow to the lower limbs, despite limited stent expansion, and movement of these limbs. Follow-up CT showed good stent expansion. The patient had a favorable recovery without additional surgery. This case suggests that EVT might be an additional option for acute abdominal aortic occlusion if surgery or thrombolytic therapies are not possible.
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. 96052st@jichi.ac.jp.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Toriumi
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Ikemoto
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Waki
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Michiaki
authors.initials: M
authors.lastname: Nagai
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Eguchi
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Masahisa
authors.initials: M
authors.lastname: Shimpo
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Katsuki
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Soki
authors.initials: S
authors.lastname: Kurumisawa
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
authors.affiliation: Division of Cardiovascular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
authors.forename: Kazuomi
authors.initials: K
authors.lastname: Kario
mesh_terms: D000208:Acute Disease; D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011474:Prosthesis Design; D000069322:Self Expandable Metallic Stents; D014057:Tomography, X-Ray Computed
keywords: Aortic interventions; Endovascular therapy; Peripheral interventions; Thrombus