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Leriche Syndrome

Reviewed 06/2018
 


BASICS

DESCRIPTION

Leriche syndrome, also known as aortoiliac occlusive disease, is caused by atherosclerotic occlusive stenotic disease of the abdominal aorta and iliac arteries, with symptoms of prox...

DIAGNOSIS

HISTORY

  • Male: erectile or ejaculatory dysfunction or unable to complete intercourse (1)

  • Intermittent claudication symptoms: pain in thighs, hips, and buttocks with walking and relieved by rest

  • ...

TREATMENT

GENERAL MEASURES

  • Smoking cessation is mandatory.

  • Medical management (smoking cessation, aspirin, statin, ± cilostazol) is indicated in patients with intermittent claudication.

  • Procedural treatm...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Postoperative open repair (9)

    • Monitor for surgical site hematoma (bleeding is highest risk [4–17%]).

    • Postoperative cardiac events occur in <5% ...

REFERENCES

1
Setacci C, Galzerano G, Setacci F, et al. Endovascular approach to Leriche syndrome. J Cardiovasc Surg (Torino).  2012;53(3):301–306.
2
Leriche R, Morel A. The syndrome of thrombotic ob...

ADDITIONAL READING

  • Arnold JR, Greenberg J, Reddy K, et al. Internal mammary artery perfusing Leriche's syndrome in association with significant coronary arteriosclerosis: four case reports and review ...

CODES

ICD10

I74.09 Other arterial embolism and thrombosis of abdominal aorta 

ICD9

444.09 Other arterial embolism and thrombosis of abdominal aorta 

SNOMED

307816004 Leriche's syndrome (disorder) 

CLINICAL PEARLS

  • Reducing risk factors such as cigarette smoking, hypertension, and hypercholesterolemia is key to prevention.

  • Mainstay treatment involves medical management, endovascular or open repair...

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