title: Aneurysmal degeneration of the superficial femoral artery after remote endarterectomy.
abstract: Superficial femoral artery reocclusion is the most common complication of remote endarterectomy with the Mollring device. We present the first reported case of a male patient who developed aneurysmal degeneration of the superficial femoral artery after a previous left common femoral endarterectomy and superficial femoral remote endarterectomy with popliteal stenting. He underwent thrombolysis with subsequent percutaneous transluminal angioplasty after developing acute left lower extremity ischemia. At 12-month follow-up, he was free of claudication symptoms. This case illustrates the need for close surveillance and discusses possible treatment options for patients with this rare complication.
authors.affiliation: Division of Vascular Surgery and Endovascular Therapy, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Danielle B
authors.initials: DB
authors.lastname: Cameron
authors.forename: James H
authors.initials: JH
authors.lastname: Black
authors.forename: Elliot K
authors.initials: EK
authors.lastname: Fishman
authors.forename: Julie A
authors.initials: JA
authors.lastname: Freischlag
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Abularrage
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy; D015901:Angiography, Digital Subtraction / Q000379:methods; D017130:Angioplasty / Q000379:methods*; D004691:Endarterectomy / Q000009:adverse effects* / Q000379:methods; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D012008:Recurrence; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology