Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: report of a case.
We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for graft thrombosis after aortoiliac reconstructive surgery. A 79-year-old man presented with a 2-month history of severe intermittent claudication of the right leg. He had undergone a surgical repair of abdominal aortic aneurysm with a bifurcated polyester graft 3 years before presentation. Digital subtraction angiography revealed total occlusion of the right limb of the graft. He underwent primary stent placement on the lesion, and completion angiography showed revascularization of the right limb. Primary stent placement can be performed to decrease the risks of surgery and increase the salvage of a graft with chronic total occlusion.
Kondo
Yuka
Y
Department of Surgery, Division of Cardiovascular Surgery, Fujita Health University, Aichi, Japan.
Dardik
Alan
A
Muto
Akihito
A
Nishibe
Masayasu
M
Nishibe
Toshiya
T
D000368:Aged; D015901:Angiography, Digital Subtraction; D001011:Aorta / Q000473:pathology*; D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology*; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D015607:Stents; D013997:Time Factors