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Endovascular Treatment of Acute Aortic Occlusion with Critical Limb Ischemia using an AngioJet Device.

BACKGROUND: Acute aortic occlusion is an uncommon vascular emergency.

REPORT: We report an endovascular procedure in a patient with acute aortic occlusion causing critical limb ischemia. Following thrombus debulking with AngioJet system, aortoiliac patency was achieved with bilateral iliac artery stent placement creating new aortic bifurcation.

CONCLUSIONS: Pharmacomechanical thrombectomy may provide effective debulking of thrombus. It may be utilized before stenting, and may also be curative in selected cases.

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