Rescue Aortoiliac  Subintimal Recanalization and Stent “Endobypass” for Leriche Syndrome Complicated by Fournier Gangrene

A 67-year-old woman with longstanding Rutherford 4 leg and buttock claudication secondary to aortobiiliac occlusion (Leriche syndrome) presented with Fournier gangrene. Emergent life-saving debridement was complicated by a large nonhealing wound requiring 7 surgeries over 6 weeks. Muscle flap and skin graft surgeries failed because of poor perfusion owing to calcified aortobiiliac chronic total occlusion (CTO) (Fig 1a). She was not a candidate for surgical bypass and refused hospice care. She underwent aortoiliac recanalization to provide pelvic wall perfusion to allow for future skin and muscle grafts.

Source: Journal of Vascular and Interventional Radiology : JVIR - March 21, 2024 Category: Radiology Authors: Raj Pyne Tags: Extreme IR Source Type: research