Work

Endovascular management for acute aortic thrombosis presenting with critical lower limb ischemia

Year: 2025

Type: article

Abstract: 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.

Source: Vascular Investigation and Therapy

DOI: 10.4103/vit.vit-d-25-00004

Authors: Wubulikasimu Wulamu, Hai-Lei Li, Yiu Che Chan, Stephen Wing-Keung Cheng

Institutions: Chinese University of Hong Kong, Shenzhen, University of Hong Kong - Shenzhen Hospital, Queen Mary Hospital, University of Hong Kong

Language: English

Topic: Aortic Thrombus and Embolism

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4412706822

FWCI:

Cites: 21

Cited by:

Related to: 10