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Patient’s characteristics
Gender: Female
Age: 65 years old
Comorbidity: Arterial hypertension, Dyslipidemia
Symptoms: Acute onset of claudication (<2 weeks), Rutherford class 3 of the left limb
Previous operations: None
ABI: 0.5
DUS: Occlusion of the left popliteal artery
The postischemic compartment syndrome of lower extremity could lead to devastating complications, particularly after a successful revascularization procedure.
The following presentation summarises the pathophysiology, diagnostic and treatment options for this entity.
Surgical thrombectomy is considered the first line strategy for the treatment of acute iliac axis and femoro-popliteal thrombosis, but in some cases it can be inconclusive and lead to controlateral and/or distal embolization and dissection.
This is a case report describing the endovascular options for the treatment of aorto-iliac obstructive disease complicated by popliteal artery thrombosis after failure of surgical trans-femoral iliac thrombectomy in a patient with acute limb ischemia.
Bilateral hypogastric artery occlusion is associated with increased morbidity in patients with acute limb ischemia. Although transfemoral lilac thrombectomy is considered a straightforward procedure, it might lead to an occlusion of the hypogastric artery. However, simple endovascular techniques can be helpful in keeping the hypogastric arteries patent.
A very challenging case of postradiogenic occlusion of the infrarenal aorta and the iliac arteries. A step by step analysis of the procedural steps in order to maintain the perfusion of both legs and to avoid any open surgical reconstruction.
Treatment of a challenging case of acute limb ischemia (external iliac, common femoral and popliteal artery) with the Indigo thrombectomy system - Step by step procedure and description of decision making for this case
