Purpose: To report a complication of stent placement at a bifurcation in the infrapopliteal arteries.
Case Report: A 60-year-old man presented with a complex subtotal stenosis in the anterior tibial artery and the tibioperoneal trunk. Two drug-eluting stents were implanted by means of the crush technique, successfully recanalizing the trifurcation. One week later, the patient was readmitted with a thrombotic occlusion of the popliteal artery. Fluoroscopy showed a fracture of the larger stent in the tibioperoneal trunk. After successful local thrombolysis, a stent fragment was located in the popliteal artery and removed with an Amplatz snare. Long-term follow-up was uneventful.
Conclusion: Fracture may be a more common complication of bifurcation stenting when undertaken in a territory at high risk for this complication.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1583/06-1893.1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Resection of Giant Mycotic Aneurysm in the Tibioperoneal Trunk by Posterior Approach in a Prone Position with Air Tourniquet.
Ann Vasc Dis
September 2024
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
Aneurysms of the tibioperoneal trunk (TPT) with peripheral arterial lesions are extremely rare. We present a case of a 68-year-old man who underwent surgical treatment for a mycotic aneurysm of the TPT. This report highlights the importance of en bloc surgical resection of the mycotic aneurysm and an appropriate approach with an air tourniquet for the prevention of injuries to the adherent tissues.
View Article and Find Full Text PDFClosure Device Migration: An Unusual Cause of Acute Limb Ischaemia Following a Simple Endovascular Procedure.
EJVES Vasc Forum
May 2024
Aortic Centre, Marie Lannelongue Hospital, Le Plessis Robinson, France.
Introduction: Acute limb ischaemia resulting from foreign body embolisation is an infrequent yet critical complication associated with vascular closure devices (VCDs). Despite the widespread use of VCDs, rare complications such as fragment emboli pose unique challenges, necessitating heightened clinical awareness. This case report presents a case of acute limb ischaemia caused by a VCD malfunction following an endovascular procedure.
View Article and Find Full Text PDFThe Impact of Repeat Endovascular Treatment on Critical Limb-Threatening Ischemia for Limb Salvage.
Cureus
May 2024
Cardiology, Medical Corporation Kawasaki Hospital, Kobe, JPN.
Chronic limb-threatening ischemia due to chronic total occlusion of below-the-knee lesions is one of the most challenging cases for endovascular treatment. Restoring perfusion is crucial, and its success depends on numerous factors. Owing to the recent development of dedicated devices and techniques, endovascular treatment is becoming an alternative to bypass surgery as a first-line treatment, even for the infra-popliteal lesion, because endovascular recanalization outcomes have considerably improved.
View Article and Find Full Text PDFIntravascular lithotripsy-assisted percutaneous deep vein arterialization for no-option chronic limb-threatening patients and heavily calcified tibial occlusive disease.
Vascular
May 2024
Department of Vascular Surgery, Ludwig-Maximillians-University Hospital Munich, Munich, Germany.
Purpose: To report the first chronic limb-threatening ischemia (CLTI) patients who underwent an intravascular lithotripsy (IVL)-assisted percutaneous deep vein arterialization (pDVA).
Case Report 1: An 81-year-old patient presented with CLTI and a heavily calcified lesion of the popliteal artery and tibioperoneal trunk (TPT), with a distal tibial and foot arch occlusion. The patient underwent IVL and drug-coated balloon angioplasty for the distal popliteal artery and of the TPT to improve the inflow prior to pDVA.
Infective native aneurysms of the infrapopliteal arteries - A systematic literature review and report of two cases.
Vasc Med
August 2024
Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.
Infective native aneurysms (INA) of the infrapopliteal arteries are rare and have previously been poorly described. This systematic review aims to provide an overview of the literature of this entity. Furthermore, two case reports of our own clinical experience are presented.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!