Acute ischemia secondary to popliteal artery stent fracture and embolization

Femoropopliteal disease comprises more than one half of lesions in peripheral vascular disease. The treatment modalities for stenosis or occlusion of this anatomic region include femoropopliteal bypass and percutaneous transluminal angioplasty with or without stenting. Our patient developed acute le...

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Main Authors: Annalise M. Panthofer, BS, Jeniann A. Yi, MD, Andy C. Chiou, MD, MPH, Jon S. Matsumura, MD
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723000527
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author Annalise M. Panthofer, BS
Jeniann A. Yi, MD
Andy C. Chiou, MD, MPH
Jon S. Matsumura, MD
author_facet Annalise M. Panthofer, BS
Jeniann A. Yi, MD
Andy C. Chiou, MD, MPH
Jon S. Matsumura, MD
author_sort Annalise M. Panthofer, BS
collection DOAJ
description Femoropopliteal disease comprises more than one half of lesions in peripheral vascular disease. The treatment modalities for stenosis or occlusion of this anatomic region include femoropopliteal bypass and percutaneous transluminal angioplasty with or without stenting. Our patient developed acute leg ischemia 3 years after stenting, secondary to stent fracture, with distal embolization of stent fragments. Using mechanical thromboembolectomy and superficial femoral artery to below-the-knee popliteal in situ saphenous vein bypass, we were able to restore perfusion to the limb and retrieve fragments of the fractured stent.
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spelling doaj.art-198e67ef4c704752b58cdd2612500bfa2023-09-27T04:43:30ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-09-0193101143Acute ischemia secondary to popliteal artery stent fracture and embolizationAnnalise M. Panthofer, BS0Jeniann A. Yi, MD1Andy C. Chiou, MD, MPH2Jon S. Matsumura, MD3Division of Vascular Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI; Correspondence: Annalise M. Panthofer, BS, Division of Vascular Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, H4/735, Madison, WI 53792Division of Vascular Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, COPeoria Vein Center, Peoria, ILDivision of Vascular Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WIFemoropopliteal disease comprises more than one half of lesions in peripheral vascular disease. The treatment modalities for stenosis or occlusion of this anatomic region include femoropopliteal bypass and percutaneous transluminal angioplasty with or without stenting. Our patient developed acute leg ischemia 3 years after stenting, secondary to stent fracture, with distal embolization of stent fragments. Using mechanical thromboembolectomy and superficial femoral artery to below-the-knee popliteal in situ saphenous vein bypass, we were able to restore perfusion to the limb and retrieve fragments of the fractured stent.http://www.sciencedirect.com/science/article/pii/S2468428723000527Arterial occlusive diseasesChronic limb-threatening ischemiaIntermittent claudicationPeripheral arterial diseaseSelf-expandable metallic stentsVenous stent
spellingShingle Annalise M. Panthofer, BS
Jeniann A. Yi, MD
Andy C. Chiou, MD, MPH
Jon S. Matsumura, MD
Acute ischemia secondary to popliteal artery stent fracture and embolization
Journal of Vascular Surgery Cases and Innovative Techniques
Arterial occlusive diseases
Chronic limb-threatening ischemia
Intermittent claudication
Peripheral arterial disease
Self-expandable metallic stents
Venous stent
title Acute ischemia secondary to popliteal artery stent fracture and embolization
title_full Acute ischemia secondary to popliteal artery stent fracture and embolization
title_fullStr Acute ischemia secondary to popliteal artery stent fracture and embolization
title_full_unstemmed Acute ischemia secondary to popliteal artery stent fracture and embolization
title_short Acute ischemia secondary to popliteal artery stent fracture and embolization
title_sort acute ischemia secondary to popliteal artery stent fracture and embolization
topic Arterial occlusive diseases
Chronic limb-threatening ischemia
Intermittent claudication
Peripheral arterial disease
Self-expandable metallic stents
Venous stent
url http://www.sciencedirect.com/science/article/pii/S2468428723000527
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