title: Recurrent popliteal endoprosthesis thrombosis secondary to extrinsic compression.
abstract: Endovascular intervention to exclude popliteal artery aneurysms (PAA) achieves results comparable to surgical intervention with less associated morbidity and mortality. However, the biomechanical forces inherent to this region pose unique impediments that can limit successful endovascular exclusion. Herein, we present a case of recurrent thrombotic occlusion of a PAA endoprosthesis secondary to dynamic extrinsic compression from the excluded PAA in the absence of an endoleak. Multimodality imaging proved vital in elucidating this novel etiology and enabled an appropriate definitive intervention.
authors: Division of Cardiology, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, USA. bergenedward@aol.com
authors: Edward
authors: E
authors: Bergen
authors: Steven R
authors: SR
authors: Bailey
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D012008:Recurrence; D013314:Stress, Mechanical; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional