Stenosis-jet can cause a dissection of the superficial femoral artery

A dissection of the superficial femoral artery mainly occurs due to trauma or manipulation of the artery by means of interventional procedures. In con trast to dissections of the carotid arteries which are known to occur spont aneously we present the case of a stenosis of the superficial femoral arter y, that led to a dissection caused by the stenosis-jet. The dissection on t he other hand caused an appositional thrombus which led to the embolic occl usion of the pedal-arteries. In case of peripheral embolisms in patients wi th or without history of peripheral arterial occlusion disease it is import ant to look for a causing arterial pathology preferably by duplex sonograph y.