Article

Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: report of a case.

Department of Surgery, Division of Cardiovascular Surgery, Fujita Health University, Aichi, Japan.
Surgery Today (impact factor: 1.22). 02/2009; 39(5):418-20. DOI:10.1007/s00595-008-3855-y pp.418-20
Source: PubMed

ABSTRACT We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for graft thrombosis after aortoiliac reconstructive surgery. A 79-year-old man presented with a 2-month history of severe intermittent claudication of the right leg. He had undergone a surgical repair of abdominal aortic aneurysm with a bifurcated polyester graft 3 years before presentation. Digital subtraction angiography revealed total occlusion of the right limb of the graft. He underwent primary stent placement on the lesion, and completion angiography showed revascularization of the right limb. Primary stent placement can be performed to decrease the risks of surgery and increase the salvage of a graft with chronic total occlusion.

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Keywords

2-month history
 
abdominal aortic aneurysm
 
aortoiliac reconstructive surgery
 
bifurcated polyester graft 3 years
 
completion angiography
 
decrease
 
Digital subtraction angiography
 
graft
 
graft thrombosis
 
Primary stent placement
 
salvage
 
surgical
 
thrombectomy