Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication
Intermittent claudication (IC) from peripheral arterial disease is typically managed with pharmacologic interventions and lifestyle changes. However, despite societal guidelines, initial endovascular interventions are being used more frequently with an increased incidence of complications, resulting...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872300165X |
| _version_ | 1797672667965292544 |
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| author | Khushi S. Patel, BA Charles A. Hamilton, MPhil, MD Lauren A. Huntress, MD Saum A. Rahimi, MD William E. Beckerman, MD |
| author_facet | Khushi S. Patel, BA Charles A. Hamilton, MPhil, MD Lauren A. Huntress, MD Saum A. Rahimi, MD William E. Beckerman, MD |
| author_sort | Khushi S. Patel, BA |
| collection | DOAJ |
| description | Intermittent claudication (IC) from peripheral arterial disease is typically managed with pharmacologic interventions and lifestyle changes. However, despite societal guidelines, initial endovascular interventions are being used more frequently with an increased incidence of complications, resulting in rapid disease progression to critical and acute limb-threatening ischemia (ALI). The present report describes the case of a patient who developed ALI after treatment of IC at another facility, with malpositioned bilateral common iliac stents, continuous stent extension into the popliteal artery, and acute occlusion of the entirety of the right lower extremity vasculature. This case illustrates how extensive endovascular intervention for IC can result in ALI requiring urgent revascularization. |
| first_indexed | 2024-03-11T21:33:32Z |
| format | Article |
| id | doaj.art-16aa0e1241574ad7ab3879f8aa762ade |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-11T21:33:32Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-16aa0e1241574ad7ab3879f8aa762ade2023-09-27T04:43:48ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-09-0193101256Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudicationKhushi S. Patel, BA0Charles A. Hamilton, MPhil, MD1Lauren A. Huntress, MD2Saum A. Rahimi, MD3William E. Beckerman, MD4Rutgers Robert Wood Johnson Medical School, Piscataway, NJDivision of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJDivision of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJDivision of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJDivision of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; Correspondence: William E. Beckerman, MD, Division of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers Biomedical and Health Sciences, Rutgers University, Medical Education Bldg 541, One Robert Wood Johnson Pl, New Brunswick, NJ 08901Intermittent claudication (IC) from peripheral arterial disease is typically managed with pharmacologic interventions and lifestyle changes. However, despite societal guidelines, initial endovascular interventions are being used more frequently with an increased incidence of complications, resulting in rapid disease progression to critical and acute limb-threatening ischemia (ALI). The present report describes the case of a patient who developed ALI after treatment of IC at another facility, with malpositioned bilateral common iliac stents, continuous stent extension into the popliteal artery, and acute occlusion of the entirety of the right lower extremity vasculature. This case illustrates how extensive endovascular intervention for IC can result in ALI requiring urgent revascularization.http://www.sciencedirect.com/science/article/pii/S246842872300165XAcute ischemiaCommon femoral stentingEndovascular complicationIntermittent claudicationRevascularization |
| spellingShingle | Khushi S. Patel, BA Charles A. Hamilton, MPhil, MD Lauren A. Huntress, MD Saum A. Rahimi, MD William E. Beckerman, MD Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication Journal of Vascular Surgery Cases and Innovative Techniques Acute ischemia Common femoral stenting Endovascular complication Intermittent claudication Revascularization |
| title | Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication |
| title_full | Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication |
| title_fullStr | Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication |
| title_full_unstemmed | Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication |
| title_short | Nitinol overdose—rescue of acute limb ischemia caused by stenting of the common iliac, external iliac, common femoral, superficial femoral, and popliteal arteries in an actively smoking patient with claudication |
| title_sort | nitinol overdose rescue of acute limb ischemia caused by stenting of the common iliac external iliac common femoral superficial femoral and popliteal arteries in an actively smoking patient with claudication |
| topic | Acute ischemia Common femoral stenting Endovascular complication Intermittent claudication Revascularization |
| url | http://www.sciencedirect.com/science/article/pii/S246842872300165X |
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