Endovascular Management of Acute Total Occlusion of the Aorta
Journal of the Korean Geriatrics Society
; : 113-117, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-114268
Responsible library:
WPRO
ABSTRACT
Acute total occlusion of the aorta is a rare and clinically critical condition requiring aggressive immediate diagnosis and treatment. A 73-year-old male was seen at our hospital complaining of pain sensation in both legs. Under the likely impression of an acute total occlusion of the aorta, emergency abdominal aortogram was done, which revealed total occlusion of the distal aorta and both iliac arteries. Intra-arterial thrombolysis with urokinase was attempted for 48 hours as intervention during the acute stage is highly related to distal thromboembolic events. Follow-up angiography showed improved arterial flow but residual stenosis at both the common iliac arteries. Self-expandable nitinol stents were inserted at both the iliac arteries by the v-kissing technique resulting in a satisfying outcome as seen on angiography without complications. The patient was discharged without additional medical problems. From our experience, we conclude that the use of intra-arterial thrombolysis with percutaneous transluminal angioplasty is an alternative to the conventional surgical approach in treating acute total occlusion of the aorta.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Sensation
/
Thromboembolism
/
Angiography
/
Urokinase-Type Plasminogen Activator
/
Stents
/
Follow-Up Studies
/
Angioplasty
/
Constriction, Pathologic
/
Emergencies
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Journal of the Korean Geriatrics Society
Year:
2011
Document type:
Article