Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia
We report a 72-year-old male presented with 8 days’ history of sudden onset of right lower limb coldness, pain, and numbness. Emergency computed tomography angiography showed occlusion of the infrarenal abdominal aorta. Emergency angiography showed complete occlusion of the infrarenal aorta extendin...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
|
| Series: | Vascular Investigation and Therapy |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/vit.VIT-D-25-00004 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849392135124549632 |
|---|---|
| author | Wubulikasimu Wulamu Hai-Lei Li Yiu Che Chan Stephen Wing-Keung Cheng |
| author_facet | Wubulikasimu Wulamu Hai-Lei Li Yiu Che Chan Stephen Wing-Keung Cheng |
| author_sort | Wubulikasimu Wulamu |
| collection | DOAJ |
| description | We report a 72-year-old male presented with 8 days’ history of sudden onset of right lower limb coldness, pain, and numbness. Emergency computed tomography angiography showed occlusion of the infrarenal abdominal aorta. Emergency angiography showed complete occlusion of the infrarenal aorta extending into both common iliac arteries. The patient underwent endovascular catheter-directed thrombolysis and subsequent transfemoral thrombectomy due to distal embolism after thrombolysis and made a full recovery with well-perfused feet afterward. Acute aortic thrombosis is an unusual cause of bilateral lower limb ischemia. Prompt diagnosis and intervention were essential for limb salvage. In selected patients, endovascular treatment may provide a more minimally invasive treatment option. |
| format | Article |
| id | doaj-art-d77095862c9d40bbb3a344bb8d79e4ed |
| institution | Kabale University |
| issn | 2589-9686 2589-9481 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Vascular Investigation and Therapy |
| spelling | doaj-art-d77095862c9d40bbb3a344bb8d79e4ed2025-08-20T03:40:50ZengWolters Kluwer Medknow PublicationsVascular Investigation and Therapy2589-96862589-94812025-04-0182818410.4103/vit.VIT-D-25-00004Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemiaWubulikasimu WulamuHai-Lei LiYiu Che ChanStephen Wing-Keung ChengWe report a 72-year-old male presented with 8 days’ history of sudden onset of right lower limb coldness, pain, and numbness. Emergency computed tomography angiography showed occlusion of the infrarenal abdominal aorta. Emergency angiography showed complete occlusion of the infrarenal aorta extending into both common iliac arteries. The patient underwent endovascular catheter-directed thrombolysis and subsequent transfemoral thrombectomy due to distal embolism after thrombolysis and made a full recovery with well-perfused feet afterward. Acute aortic thrombosis is an unusual cause of bilateral lower limb ischemia. Prompt diagnosis and intervention were essential for limb salvage. In selected patients, endovascular treatment may provide a more minimally invasive treatment option.https://journals.lww.com/10.4103/vit.VIT-D-25-00004acute aortic thrombosiscatheter-directed thrombolysisendovascular treatment |
| spellingShingle | Wubulikasimu Wulamu Hai-Lei Li Yiu Che Chan Stephen Wing-Keung Cheng Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia Vascular Investigation and Therapy acute aortic thrombosis catheter-directed thrombolysis endovascular treatment |
| title | Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| title_full | Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| title_fullStr | Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| title_full_unstemmed | Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| title_short | Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| title_sort | endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia |
| topic | acute aortic thrombosis catheter-directed thrombolysis endovascular treatment |
| url | https://journals.lww.com/10.4103/vit.VIT-D-25-00004 |
| work_keys_str_mv | AT wubulikasimuwulamu endovascularmanagementforacuteaorticthrombosispresentingwithcriticallowerlimbischemia AT haileili endovascularmanagementforacuteaorticthrombosispresentingwithcriticallowerlimbischemia AT yiuchechan endovascularmanagementforacuteaorticthrombosispresentingwithcriticallowerlimbischemia AT stephenwingkeungcheng endovascularmanagementforacuteaorticthrombosispresentingwithcriticallowerlimbischemia |