title: Subintimal Recanalization of an Occluded Common Iliac Stent: A Case Report.
abstract: The purpose of this report is to describe a minimally invasive alternative endovascular technique for the treatment of chronically occluded stents when it is not possible to cross them endoluminally. A 71-year-old patient with recurrent severe lower limb claudication due to occlusion of a stent placed in the common iliac artery 5 years earlier underwent subintimal recanalization of the stented segment and restenting after failed intraluminal approach. The postoperative computed tomography scan showed that the restented segment was patent with a flattening of the previous stent. Five years postoperatively the patient remains free from symptoms and the recanalized arteries are still patent at ultrasound.
authors.affiliation: Vascular Centre Malmö, Skåne University Hospital, Malmö, Sweden. Electronic address: giuseppe.asciutto@med.lu.se.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Asciutto
authors.affiliation: Vascular Centre Malmö, Skåne University Hospital, Malmö, Sweden; Department of Renal Transplant and Vascular Access, Guy's Hospital, London, UK.
authors.forename: Roberta M
authors.initials: RM
authors.lastname: Brambilla
authors.affiliation: Vascular Centre Malmö, Skåne University Hospital, Malmö, Sweden; Department of Vascular Surgery, 251 Hellenic Air Force Hospital Athens, Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Bountouris
authors.affiliation: Vascular Centre Malmö, Skåne University Hospital, Malmö, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Malina
authors.affiliation: Vascular Centre Malmö, Skåne University Hospital, Malmö, Sweden.
authors.forename: Nuno V
authors.initials: NV
authors.lastname: Dias
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D012008:Recurrence; D019233:Retreatment; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency