Mete Gursoy1, Egemen Duygu2, Umut Karabulut2, Idil Çakir3, Abdulkadir F Hokenek4. 1. Department of Cardiovascular Surgery, Acibadem International Hospital, Istanbul, Turkey. Electronic address: metegursoy35@gmail.com. 2. Department of Cardiology, Acibadem International Hospital, Istanbul, Turkey. 3. Division of Health Management, Acibadem University, Vocational School of Health Services, Istanbul, Turkey. 4. Department of Cardiovascular Surgery, Acibadem International Hospital, Istanbul, Turkey.
Abstract
BACKGROUND: Acute aortic occlusion is an uncommon vascular emergency. REPORT: We report an endovascular procedure in a patient with acute aortic occlusion causing critical limb ischemia. Following thrombus debulking with AngioJet system, aortoiliac patency was achieved with bilateral iliac artery stent placement creating new aortic bifurcation. CONCLUSIONS: Pharmacomechanical thrombectomy may provide effective debulking of thrombus. It may be utilized before stenting, and may also be curative in selected cases.
BACKGROUND:Acute aortic occlusion is an uncommon vascular emergency. REPORT: We report an endovascular procedure in a patient with acute aortic occlusion causing critical limb ischemia. Following thrombus debulking with AngioJet system, aortoiliac patency was achieved with bilateral iliac artery stent placement creating new aortic bifurcation. CONCLUSIONS: Pharmacomechanical thrombectomy may provide effective debulking of thrombus. It may be utilized before stenting, and may also be curative in selected cases.
Authors: Santiago Rolon; Jacob C Wood; Neel A Mansukhani; Robert A Hieb; Michael J Malinowski; Brian D Lewis; Kellie R Brown; Peter J Rossi Journal: J Vasc Surg Cases Innov Tech Date: 2021-05-21