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Endovascular approach to Leriche syndrome

C Setacci1, G Galzerano, F Setacci

  • 1Department of Vascular and Endovascular Surgery University of Siena, Siena, Italy. setacci@unisi.it

The Journal of Cardiovascular Surgery
|June 15, 2012
PubMed

Insights

Leriche syndrome, characterized by chronic aortic bifurcation and iliac axis obstruction, is increasingly treated with endovascular therapy. This minimally invasive approach offers an alternative to surgery for extensive aortoiliac occlusive disease.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Leriche syndrome, chronic obstruction of the aortic bifurcation and iliac axis, is increasingly prevalent due to population aging.
  • Historically viewed as a syndrome, it now represents complex aortoiliac vascular lesions.
  • Surgical revascularization is recommended by guidelines but associated with significant perioperative morbidity.

Purpose of the Study:

  • To review current multidisciplinary guidelines for endovascular treatment of extensive aortoiliac disease.
  • To summarize global single-center experiences in endovascular treatment of Leriche syndrome.

Main Methods:

  • Literature review of current multidisciplinary guidelines.
  • Systematic review of published single-center experiences on endovascular treatment for Leriche syndrome.

Main Results:

  • Endovascular therapy is increasingly utilized for extensive aortoiliac disease.
  • Review of guidelines and worldwide experiences highlights advancements in endovascular techniques.
  • Comparison of endovascular outcomes versus traditional surgical revascularization.

Conclusions:

  • Endovascular treatment is a viable and evolving option for Leriche syndrome.
  • Minimally invasive approaches may reduce perioperative morbidity compared to open surgery.
  • Further research and standardization of endovascular techniques are warranted.

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