title: Spontaneous rupture of superficial femoral artery repaired with endovascular stent-grafting with use of rendez-vous technique, followed by delayed infection.
abstract: This is the case of a 72-year-old man with lower limb ischemia due to spontaneous rupture of nonaneurysmal superficial femoral artery that developed into thigh hematoma. After failure of a Fogarty revascularization, an emergency endovascular procedure was performed to restore the arterial continuity. A rendezvous procedure was performed with a double femoral and popliteal approach and two covered stent-grafts were deployed. Patient's clinical conditions immediately improved, but 4 months later the stent-grafts were surgically removed for infection and exteriorization. A femoropopliteal bypass was performed. After 1 year follow-up, the patient is in good clinical condition.
authors.affiliation: Department of Radiological Sciences, Vascular and Interventional Radiology Unit, University of Rome "Sapienza,", 324 Viale Regina Elena, 00161, Rome, Italy. fabrizio.fanelli@uniroma1.it
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Fanelli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cannavale
authors.forename: Marianna
authors.initials: M
authors.lastname: Gazzetti
authors.forename: Cristiano
authors.initials: C
authors.lastname: Fantozzi
authors.forename: Maurizio
authors.initials: M
authors.lastname: Taurino
authors.forename: Francesco
authors.initials: F
authors.lastname: Speziale
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D020878:Device Removal; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods