| P166 | New Interventional Approach to Leriches Syndrome: Continuous Transbrachial Surveillance of Bifemoral Angioplasty in Kissing Balloon Technique. |
| 1E.Kuon, 1Chr.Dorn, 2R.Hofbauer | |
| 1Department of Cardiology, Klinik Fränkische Schweiz, Ebermannstadt; 2Department of Internal Medicine, University of Wien, Wien, AT. | |
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Background: Leriche`s syndrome – intermittent claudication and erectile impotence due to a significant stenosis or occlusion of the lumbar aortic bifurcation – remains to be an ongoing therapeutic challenge, and is not usually considered an indication for percutaneous endovascular treatment. Medical history: The authors report and discuss the case of a 50-year-old male patient, who suffered from severe ischemic pains in both thighs and hips at slightest exercise and progressive erectile impotence. Methods and results: Lumbar aortography and computed tomography revealed a severe stenosis of the slightly calcified aortic bifurcation with a minimal lumen of 0.4 cm2 and depicted an additional proximal spur into the left common iliac artery, narrowing its lumen to 80%. In kissing-balloon technique the aortic bifurcation was enlarged up to an minimal lumen diameter of 15 mm. The transbrachial angiographic surveillance of the procedure simplified an exact positioning of all devices, enables a simultaneous observation of inflation characteristics, and if necessary, a subsequent periinterventional correction. The overall fluoroscopic and intervention times were 7 and 55 minutes, respectively. The mean overall radiation ex-posure to the patient amounted to a dose area product of 32.7 Gycm2. Conclusions: The reported case illustrates the feasibility, effectiveness, and safety of a new, gentle endovascular technique for the treatment of Leriches syndrome, due to a severe stenosis of the aortic bifurcation. |