Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 251-254, September 2009

Infrarenal Aortic Occlusion (Leriche Syndrome) Depicted on Multidetector-row CT Angiography

  • Kun-Eng Lim

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, 289, Jianguo Road, Xindian, Taipei, Taiwan
    • ,
  • Kuei-Ton Tsai

      Affiliations

    • Department of Cardiovascular Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Cheng-Yi Chan

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yuan-Yu Hsu

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yueh-Hua Tsai

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsu-Chao Chang

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsiu-Wen Kuo

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan

Received 21 June 2008; received in revised form 10 July 2008; accepted 20 August 2008.

Article Outline

Abstract 

Digital subtraction angiography is regarded as the gold standard for the evaluation of aortoiliac and peripheral arteriosclerotic disease. However, it is invasive, and difficulties may be encountered during the evaluation of total occlusion of the infrarenal aorta. The rapid development of multi-detector-row computed tomography scanners has promoted the use of this modality for assessing the vascular system in a minimally invasive manner. We report a case of Leriche syndrome assessed using multide-tector-row computed tomography angiography as the diagnostic tool. The technique allows high-quality angiography-like images and provides adequate information necessary for surgical treatment.

Keywords:  Aortic occlusion disease , Computed tomography angiography , Leriche syndrome

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Leriche R . De la resection du Carrefour aortoiliaque avec double sympathectomie lombaire pour thrombose arteritique de I,aorte: le sundome de I'obliteration terminoaortotique par arterite . La Presse Med . 1940;48:601–607 [In French]
  2. Hessel S , Adam D . Complications of angiography . Radiology . 1981;138:273–281
  3. Rubin GD , Walker PJ , Dake MD , et al.   Three-dimensional spiral computed tomographic angiography: an alternative imaging modality for the abdominal aorta and its branches . J Vas Surg . 1993;18:656–664
  4. Rubin GD , Schmidt AJ , Logan LJ , Sofilos MC . Multidetector row CT angiography of lower extremity arterial inflow and runoff: initial experience . Radiology . 2001;221:146–158
  5. Sebastia C , Quiroga S , Boye R , Perez-Lafuente M , Castella E , Alvarez-Castells A . Aortic stenosis: spectrum of diseases depicted on multisection CT . Radiographics . 2003;23:79–91
  6. Catalario C , Fraloli F , Laghi A , et al.   Infrarenal aortic and lower extremity arterial disease: diagnostic performance of multidetector row CT angiography . Radiology . 2004;231:555–563
  7. Quinn SF , Sheley RC , Semonsen KG , Leonardo VJ , Kojima K , Szumowski J . Aortic and lower extremity arterial disease: evaluation with MR angiography versus conventional angiography . Radiology . 1998;206:693–701
  8. Sueyoshi E , Sakamoto I , Matskuoka Y , et al.   Aortoiliac and lower extremity arteries: comparison of three-dimensional dynamic contrast-enhanced subtraction MR angiography and conventional angiography . Radiology . 1999;210:683–688
  9. Kramer U , Nael K , Fenchel M , Miller S . Magnetic resonance angiography of chest and abdomen at 3T . Top Magn Reson Imaging . 2007;18:105–115
  10. Ruehm SG , Weishaupt D , Debatin JF . Contrast-enhanced MR angiography in patients with aortic occlusion (Leriche syndrome) . J Magn Reson Imaging . 2000;11:401–410
  11. Lell MM , Anders K , Uder M , et al.   New techniques in CT angiography . Radiographics . 2006;26(Suppl 1):45–62

PII: S1016-3190(09)60049-5

doi:10.1016/S1016-3190(09)60049-5

Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 251-254, September 2009

Article Tools