Complete Revascularization of Juxtarenal Aortic Occlusion by Endovascular Treatment and Adjunctive Anticoagulation.
10.3904/kjm.2013.85.3.302
- Author:
Gun Woo KIM
1
;
Jae Youn MOON
;
Sun Mi JIN
;
Jie Hye MOON
;
Kyung Ho KIM
;
Sang Hoon KIM
;
Sang Wook LIM
Author Information
1. Department of Cardiology, CHA Bundang Medical Center, CHA University School of Medicine, Sungnam, Korea. answod77@naver.com
- Publication Type:Case Report
- Keywords:
Leriche's syndrome;
Abdominal aorta;
Juxtarenal aortic occlusion;
Endovascular procedure
- MeSH:
Angioplasty;
Aorta, Abdominal;
Endarterectomy;
Endovascular Procedures;
Humans;
Leriche Syndrome;
Rare Diseases;
Renal Artery;
Stents
- From:Korean Journal of Medicine
2013;85(3):302-307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Chronic atherosclerotic occlusion of the abdominal aorta is a rare disease in clinical practice. In this disease, juxtarenal aortic occlusion is defined as the condition extended, adjacent to the renal arteries. The treatment of juxtarenal aortic occlusion is more difficult than a 'simple' abdominal aortic occlusion. Vascular surgery of a juxtarenal aortic occlusion-specifically aortic endarterectomy and bypass grafting-is a challenging procedure that almost invariably requires aortic cross-clamping above the level of the renal arteries, and may be associated with significant morbidity and mortality. With the advent of endovascular treatment, percutaneous transluminal angioplasty and stent implantation have been used increasingly as an alternative to conventional surgery in the management of patients with aortoiliac disease. However, endovascular treatment for juxtarenal aortic occlusion is not common and, also, special attention is needed with regard to possible renal complications. Here, we report the successful revascularization of a case of chronic juxtarenal aortic occlusion with endovascular treatment and adjunctive anticoagulation.
