CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S32
DOI: 10.1055/s-0041-1730737
Abstract

Is Coverd Stent Graft Prone for Thrombosis: Case Report of Complication Faced on Follow-Up after Endovascular Management of Popliteal Artery Aneurysm

Vaibhav Lende Vivekananda
Bhagwaan Mahaveer Jain Hospital, Bengaluru, India
,
Sravan Cps
Bhagwaan Mahaveer Jain Hospital, Bengaluru, India
› Author Affiliations

Background: Popliteal artery aneurysms are the hallmark of peripheral aneurysms, accounting for 70%, and are commonly bilateral in 50%–75% of patients. The prevalence and incidence of popliteal artery aneurysms are not precisely known. The presence of a popliteal aneurysm is a marker of risk to limb and life because 33%–43% are associated with an abdominal aortic aneurysm. Ligation and bypass reconstruction has long been the “gold standard” for the treatment of popliteal aneurysms. Recently, endoluminal repair with a percutaneously delivered stent graft has become a valid alternative to open repair. We present a complication of coverd stent thrombosis in 3rd-month follow-up for a patient treated for popliteal artery aneurysm. Case Report: We present 60-year male patient presented with left forefoot rest pain of sudden onset with fore foot discoloration for 2 days. On examination, patient was having thrash foot with all toes of the left leg discolored and ischemic. All distal lower limbs pulses were palpable except left dorsalis pedis artery. Computed tomography angiogram of the lower limbs revealed bilateral popliteal artery aneurysms, Left 4.2 cm × 6 cm and right 2.1 cm × 4 cm. Since left was symptomatic, decision was taken to intervene for the left popliteal aneurysm first. Covered Stent graft deployed of 8 mm × 10 cm (fluency). Poststenting there was no endoleak. Procedure went uneventful. Patient presented at 3 month with stent occlusion and underwent catheter directed thrombolysis. Results: The first procedure of deployment of stent graft went uneventful with no endoleak and good sealing zone. Postthrombolysis patient put on anticoagulation and now till 8-month follow-up patient is doing well. Conclusion: Endovascular therapy is a safe modality of treatment although long-term data are not available. Furthermore, proper follow up of all the patient is very important.



Publication History

Article published online:
11 May 2021

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