Delayed superficial femoral artery stent erosion and pseudoaneurysm following endovascular therapy for occlusive disease.
A 78 year-old male with multiple serious medical comorbidities was diagnosed with a pseudoaneurysm of the proximal superficial femoral artery. He had undergone successful superficial femoral artery (SFA) stenting for limb salvage four months previously and a Duplex ultrasound had confirmed adequacy of the endovascular procedure two months after its execution. This was successfully treated with placement of a covered-stent at the proximal SFA and a balloon-expandable stent at the origin of the deep femoral artery. Unfortunately the patient expired six weeks after the last endovascular intervention, likely due to procedural-unrelated causes. We postulate delayed stent erosion of a proximal atherosclerotic SFA, causing the pseudoaneurysm. This is the first report of such a case in the literature.
León
Luis R
LR
Vascular Surgery Section, Southern Arizona Veterans Affairs Health Care System, and University of Arizona Health Science Center, Tucson, Arizona, USA. luis.leon@va.gov
Goshima
Kaoru R
KR
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D015607:Stents / Q000009:adverse effects*