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Aorto-iliac steal syndrome. A rare case of renal hypoperfusion.

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December 1999

Department of Clinical Pathophysiology, University of Florence, Italy.

In aorto-iliac occlusive disease a diversion of blood flow from visceral arteries to lower limbs rarely occurs. This condition is known as aorto-iliac steal syndrome. This report is about the case of a male patient affected by chronic atherosclerotic occlusion of the aorta associated with an aorto-iliac steal supported by an anomalous vessel coming from the left renal artery to the homolateral external iliac artery to the detriment of the renal blood flow.

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February 1995

Klinik für Gefässchirurgie, Klinikum Nürnberg.

From 1986 through 1994 263 patients underwent vascular treatment due to 266 PTA complications. Complications at the site of the puncture were found in 35 patients (13.2%), at the site of dilatation in 210 (78.

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In chronic aortoiliac occlusive disease, 50 to 75% of the patients have further femoropopliteal lesions. The surgical treatment of these multilevel obstructions is sometimes controversial: the distal reconstruction can be performed at the time of the proximal one or deferred to a later date. It can be difficult to determine the hemodynamic importance of an iliac stenosis.

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Neurogenic claudication is characterized by sensory symptoms which appear during exercise or while maintaining a fixed posture. They are paraesthetic in quality, may be associated with 'march' phenomena, and patients may have bowel and bladder disturbance. The problem is most commonly secondary to lumbar canal stenosis (LCS) but rarely due to aortic disease, as shown in this case report.

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