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Die CT-Angiografie ergab ein akutes Leriche-Syndrom mit Okklusion der Aorta abdominalis und der Iliakalgef\u00e4\u00dfe sowie beidseitigen Lungenembolien.<\/jats:p><jats:p>Es erfolgte eine therapeutische Antikoagulation und notfallm\u00e4\u00dfige Thrombektomie. Die Patientin wurde aufgrund eines kardiogenen und hypovol\u00e4men Schocks bei Reperfusionssyndrom und Lungenembolien intensivmedizinisch betreut. Die Patientin verstarb an weiteren Komplikationen.<\/jats:p><jats:p>Das akute Leriche-Syndrom beschreibt den aortoiliakalen Verschluss. Als klinische Merkhilfe f\u00fcr die akute Extremit\u00e4tenisch\u00e4mie dienen die 6 Ps nach Pratt: Paraesthesia, Pulselessness, Paleness, Pain, Paralysis und Prostration (Schock). Ein sensomotorisches Defizit kann das alleinige Leitsymptom darstellen. Die Therapie ist eine umgehende Revaskularisation. Die Mortalit\u00e4t ist aufgrund der assoziierten Komplikationen auch bei technischem Erfolg hoch.<\/jats:p>","DOI":"10.1055\/a-2615-7976","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T22:55:39Z","timestamp":1753138539000},"page":"895-898","source":"Crossref","is-referenced-by-count":0,"title":["Ein thromboembolisches Ereignis kommt selten allein"],"prefix":"10.1055","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5157-6112","authenticated-orcid":false,"given":"Valerie","family":"Bernays","sequence":"additional","affiliation":[{"name":"Innere Medizin, Stadtspital Z\u00fcrich Triemli: Stadtspital Zurich Triemli, Z\u00fcrich, SWITZERLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Attigah","sequence":"additional","affiliation":[{"name":"Stadtspital Z\u00fcrich Triemli, Klinik f\u00fcr Viszeral-, Thorax- und Gef\u00e4sschirurgie, Sektion Gef\u00e4sschirurgie, Z\u00fcrich, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bigger","sequence":"additional","affiliation":[{"name":"Innere Medizin, Stadtspital Z\u00fcrich Triemli: Stadtspital Zurich Triemli, Z\u00fcrich, SWITZERLAND"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1097\/00000658-194802000-00001","article-title":"The syndrome of thrombotic obliteration of the aortic bifurcation","volume":"127","author":"R Leriche","year":"1948","journal-title":"Ann Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1016\/s0741-5214(97)70045-4","article-title":"Recommended standards for reports dealing with lower extremity ischemia: Revised version","volume":"26","author":"RB Rutherford","year":"1997","journal-title":"J Vasc Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.ejvs.2019.09.006","article-title":"Editor\u2019s Choice \u2013 European Society for Vascular Surgery (ESVS) 2020 Clinical practice guidelines on the management of acute limb ischaemia","volume":"59","author":"M Bj\u00f6rck","year":"2020","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1016\/0002-9610(54)90171-3","article-title":"Surgical therapy for the occluded artery","volume":"87","author":"GH Pratt","year":"1954","journal-title":"Am J Surg"},{"issue":"12","key":"ref6","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1161\/CIR.0000000000000501","article-title":"2016 AHA\/ACC guideline on the management of patients with lower extremity peripheral artery disease: Executive Summary: A report of the American college of cardiology\/American Heart Association task force on clinical practice guidelines","volume":"135","author":"MD Gerhard-Herman","year":"2017","journal-title":"Circulation"},{"issue":"02","key":"ref7","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1016\/j.jvs.2019.12.035","article-title":"Meta-analysis of direct surgical versus endovascular revascularization for aortoiliac occlusive disease","volume":"72","author":"S Premaratne","year":"2020","journal-title":"J Vasc Surg"},{"issue":"506","key":"ref8","first-page":"73","article-title":"Thrombophilie","volume":"20","author":"G Colucci","year":"2020","journal-title":"Swiss Med Forum"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jaut.2018.05.007","article-title":"The diagnosis and clinical management of the catastrophic antiphospholipid syndrome: A comprehensive review","volume":"92","author":"R Cervera","year":"2018","journal-title":"J Autoimmun"},{"issue":"11","key":"ref10","doi-asserted-by":"publisher","first-page":"e6130","DOI":"10.7759\/cureus.6130","article-title":"Arterial thrombus in a protein C deficient patient","volume":"11","author":"E Mansour","year":"2019","journal-title":"Cureus"},{"issue":"02","key":"ref11","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.ejvs.2006.07.014","article-title":"Acute leriche syndrome due to paradoxical embolism","volume":"33","author":"Y Gou\u00ebffic","year":"2007","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["DMW - 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