| Endovascular Management of Acute Total Occlusion of the Aorta |
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Jin Sup Park, Han Cheol Lee, Hyo Yeong Lee, Jong Min Hwang, Bo Won Kim, Hae Kyu Kim, Sang Pil Kim, Yeong Dae Kim |
1Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Medical Research Institute, Busan, Korea. glaraone@hanmail.net
2Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Medical Research Institute, Busan, Korea. |
| 급성 대동맥 폐색의 혈관내 치료 |
박진섭1,이한철1, 이효영1,황종민1,
김보원1, 김해규1, 김상필2, 김영대2 |
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| Abstract |
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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. |
| Key Words:
Thromboembolism, Thrombolysis, Percutaneous transluminal angioplasty, Stents |
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