title: Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: report of a case.
abstract: 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.
authors.affiliation: Department of Surgery, Division of Cardiovascular Surgery, Fujita Health University, Aichi, Japan.
authors.forename: Yuka
authors.initials: Y
authors.lastname: Kondo
authors.forename: Alan
authors.initials: A
authors.lastname: Dardik
authors.forename: Akihito
authors.initials: A
authors.lastname: Muto
authors.forename: Masayasu
authors.initials: M
authors.lastname: Nishibe
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nishibe
mesh_terms: 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