Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5597980 | Annals of Vascular Surgery | 2017 | 12 Pages |
Abstract
We report a case of acute limb ischemia (ALI) due to a thromboembolism from a persistent sciatic artery (PSA) pseudoaneurysm precipitated by a fractured stent. Patient, previously treated for ALI by fibrinolysis and stent implantation, presented with a PSA pseudoaneurysm (undetected during first hospitalization), stent fracture (SF), and occlusion of vessels below the knee. Fibrinolysis was performed, restoring direct flow to the foot. A week later, an endovascular procedure was attempted to reline SF and exclude the PSA pseudoaneurysm by deployment of two 13Â ÃÂ 100-mm peripheral endografts (Viabahn; W.L. Gore & Associates, Flagstaff, AZ). At 1-year follow-up, patient was asymptomatic without further clinical events.
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Authors
Alessandro d'Adamo, Pasqualino Sirignano, Fabrizio Fanelli, Wassim Mansour, Nunzio Montelione, Carlo Cirelli, Laura Capoccia, Francesco Speziale,