Leriche Syndrome
| Classification according to ICD-10 | |
|---|---|
| I70.0 | Atherosclerosis of the aorta |
| I74.0 | Embolism and thrombosis of the abdominal aorta aortic bifurcation syndrome (Leriche syndrome) |
| ICD-10 online (WHO version 2019) | |
The aortoiliac occlusive disease (named after the French surgeon René Leriche ) is a complete occlusion of the aorta distal to the origin of the renal arteries , usually before the bifurcation into the iliac arteries. The causes for this can be hardening of the arteries ( arteriosclerosis ), inflammation of the artery walls ( vasculitis ) and blood clots ( thrombosis / embolism ). In all cases there is a narrowing at the level of the branching of the abdominal artery into the pelvic arteries . Depending on whether the circulatory disorder occurs suddenly or develops slowly, it comes to cold legs, pain, erectile dysfunction (Impotence) and muscle wasting.
Symptoms
Acute occlusion leads to reduced perfusion of the lower extremities, which is associated with the six typical Pratt P symptoms. These are:
| English | German |
|---|---|
|
p ain |
Pain |
Chronic circulatory disorders (usually in the context of arteriosclerosis) lead to bladder and rectal disorders and erectile dysfunction up to impotence .
treatment
In order to avoid permanent damage to the poorly supplied areas, therapy must be initiated as soon as possible. Depending on the severity of the circulatory disorders, either catheter procedures ( angioplasty ) or surgery ( bypass or Y-prosthesis) can be considered.
Due to the sudden restoration of blood flow (so-called reperfusion), a so-called post-ischemia syndrome is possible, which must be treated.
