The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 58 , Issue 2
Showing 1-2 articles out of 2 articles from the selected issue
Case Reports
  • Homare Yoshida, Osamu Yasuta, Yasushi Shimoe
    2018 Volume 58 Issue 2 Pages 13-16
    Published: February 10, 2018
    Released: February 10, 2018

    Iliac vein rupture is a rare cause of retroperitoneal hemorrhage. It is occasionally lethal, with no clear precipitating factors. We report a case of spontaneous left external iliac vein rupture in a 78-year-old woman with deep vein thrombosis (DVT) of the left iliac vein. Her lower extremity swelling for several days who subsequently developed hemorrhagic shock and had to be taken emergently to surgery. Rupture of the left external iliac veins was identified intraoperatively. We find a 2-cm longitudinal tear on the anterior surface of the vein which was repaired primarily. Anticoagulation therapy has done postoperatively for DVT.

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  • Hironori Kikuchi, Takeshi Sugahara, Yuji Iyama, Sadahiro Yamamura, Eri ...
    2018 Volume 58 Issue 2 Pages 17-20
    Published: February 10, 2018
    Released: February 10, 2018

    A 78-year-old man visited our department with complaint of pain in the right lower limb that had developed after dinner, followed by cold sense on the next morning. CTA revealed complete occlusion of the proximal right superficial femoral artery. Because he exercised, senses in his right toe were not lost. We then decided to perform embolectomy. Because embolectomy using a Fogarty catheter was unsuccessful, we aspirated a direct thrombus using a 9-Fr OPTIMO occlusion catheter and achieved recanalization. Thus, we suggest that thrombus aspiration using the OPTIMO occlusion catheter for acute arterial occlusion of lower limbs is effective.

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