scholarly journals Fracture of a covered stent–graft due to heterotopic ossification of residual hematoma after endovascular treatment of superficial femoral artery pseudoaneurysm

Medicine ◽  
2021 ◽  
Vol 100 (27) ◽  
pp. e26612
Author(s):  
Jinting Ge ◽  
Tiehao Wang ◽  
Jichun Zhao ◽  
Susu Lu ◽  
Jiarong Wang ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Heterotopic Ossification ◽  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Covered Stent ◽  
Artery Pseudoaneurysm ◽  
Covered Stent Graft

scholarly journals Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm

2016 ◽  
Vol 07 (S 01) ◽  
pp. S103-S105
Author(s):  
Dale Ding ◽  
Robert M. Starke ◽  
Maurice Moriarty ◽  
Stefan Brew
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Stent Graft ◽  
Covered Stent ◽  
Parent Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Luminal Narrowing ◽  
Proximal Internal Carotid Artery ◽  
Covered Stent Graft

ABSTRACTLarge pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA). The patient underwent endovascular intervention, during which a balloon-expandable covered stent was deployed within a heparin-bonded covered stent, such that the overall construct spanned from the CCA to the lower cervical ICA. The employment of a telescoping dual covered stent technique can successfully treat appropriately selected patients with large or giant ECCA pseudoaneurysms, with the concomitant goals of excluding the pseudoaneurysm and restoring the luminal caliber of the parent artery.

Osteomyelitis of the Spine and Abscess Formation in the Left Thigh after Stent-Graft Implantation in the Superficial Femoral Artery

2000 ◽  
Vol 7 (2) ◽  
pp. 150-154 ◽  
Author(s):  
Marianne Brodmann ◽  
Gerhard Stark ◽  
Edmund Pabst ◽  
Andreas Lueger ◽  
Kurt Tiesenhausen ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Stent Graft ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Arterial Injury ◽  
Covered Stent ◽  
Left Thigh ◽  
Abscess Formation ◽  
Oral Antibiotic ◽  
Graft Occlusion

Purpose: To present a rare case of abscess formation around a covered stent in the superficial femoral artery. Methods and Results: Two weeks after balloon dilation of a left superficial femoral artery (SFA) occlusion, during which a Hemobahn covered stent had been placed to treat dissection, a 77-year-old nondiabetic male developed intolerable pain and swelling of his left thigh. An abscess had formed around the stent, which was patent; intravenous antibiotic therapy quelled the symptoms, and the patient discontinued his oral antibiotic regimen weeks after discharge. General septicemia ensued. Acute lower limb ischemia and excruciating back pain prompted readmission. The SFA stent-graft occlusion required femoropopliteal bypass; the abscess and spondylodiskitis that had developed in the T12 and L1 vertebrae responded to intravenous antibiotics. The patient is without signs of infection at 6 months. Conclusions: Local and systemic infections associated with intraluminal prostheses are rare, and prophylactic antibiotic therapy is not commonly employed. Balloon- or device-induced arterial injury may expose the arterial wall to bacterial colonization, suggesting that patients receiving lengthy stents or experiencing arterial injury during angioplasty should receive antibiotics as a precautionary measure.

scholarly journals Malignant Arterio-enteric Fistulae: Endovascular Treatment by Covered Stent-graft

2005 ◽  
Vol 29 (6) ◽  
pp. 557 ◽  
Author(s):  
A. England ◽  
P.E. Fulford ◽  
J.S. Butterfield ◽  
R.J. Ashleigh
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Covered Stent ◽  
Covered Stent Graft

Stent fractures after common femoral artery bail-out stenting due to suture device failure in TAVR

VASA ◽  
2018 ◽  
Vol 47 (5) ◽  
pp. 393-401 ◽  
Author(s):  
Verena Veulemans ◽  
Shazia Afzal ◽  
Paul Ledwig ◽  
Christian Heiss ◽  
Lucas Busch ◽  
...  
Keyword(s):  
Stent Graft ◽  
Vascular Access ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Covered Stent ◽  
Bleeding Control ◽  
Access Site ◽  
Stent Strut ◽  
Covered Stent Graft

Abstract. Background: Vascular access site-related complications are frequent in the context of transfemoral transcatheter aortic valve replacement (TAVR). The implantation of a covered stent graft is an effective treatment option for bleeding control. However, the external iliac and common femoral arteries are exposed to flexion of the hip joint. Therefore, stent compression and stent/strut fractures may occur, facilitating stent occlusion. Patients and methods: In all 389 patients who received transfemoral TAVR from 2013–2015 at the Düsseldorf Heart Centre, we monitored the management of vascular access site-related complications. Our analyses focused on immediate technical success and bleeding control, primary patency, and the occurrence of stent/strut fractures after six to 12 months of follow-up. Results: Vascular access site-related complications occurred in 13 % (n = 51), whereof in 10 patients, the bleeding was successfully managed by prolonged compression. In 40 out of 51 patients, a covered stent graft was implanted in the common femoral artery, leading to 100 % immediate bleeding control. After a mean follow-up of 334 ± 188 days, 28 stents out of 29 patients with completed follow-up (excluding e. g. death) were without flow-limiting stenosis (primary patency 97 %) or relevant stent compression (diameter pre/post 8.6/8.1 mm, p = 0.048, late lumen loss 1.1 ± 0.2 mm, mean flow velocity 92 ± 34 cm/s). In four asymptomatic patients, stent/strut fractures were detected (14 %) without flow-limiting stenosis. Conclusions: The implantation of a covered stent graft is highly effective and safe to control vascular access site-related complications after TAVR. Stent/strut fractures in the flexible segment of the common femoral artery may occur, as consequently verified by X-ray visualization, but show no impairment on flow or clinical parameters after six to 12 months.

Endovascular treatment of extracranial carotid artery aneurysms using self-expandable covered stent grafts: A single center retrospective study

Vascular ◽  
2021 ◽  
pp. 170853812199012
Author(s):  
Peixian Gao ◽  
Jiaxin Qi ◽  
Mo Wang ◽  
Gang Li ◽  
Le Yang ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Stent Graft ◽  
Common Carotid Artery ◽  
Covered Stent ◽  
Imaging Features ◽  
Stent Grafts ◽  
Extracranial Carotid Artery ◽  
Covered Stent Graft

Objectives This study was aimed to evaluate the safety and efficacy of endovascular treatment of extracranial carotid artery aneurysms (ECAAs) using self-expandable covered stent grafts. Methods All patients with ECAA at a single institution were reviewed from February 2014 to February 2020. Eight consecutive patients (three men, mean age 64.5 years) treated with endovascular repair with self-expandable covered stent graft were retrospectively reviewed. Patient characteristics, angiographic results, and follow-up outcomes were retrospectively recorded. Access to ECAA was gained via a femoral approach or a direct puncture of common carotid artery after surgical exposure because of kinking of the aortic arch and common carotid artery. A self-expandable covered stent graft (Viabahn; W. L. Gore, Flagstaff, AZ) was deployed to exclude the aneurysm. Results Based on imaging features, there were five peudoaneurysms and three true aneurysms. The technical success rate was 100%. Cerebral protection devices were not used in all the patients during the procedures. Immediate absolute obliteration of the ECAA with no endoleak was documented in all the patients. Perioperative complications included one internal carotid-cavernous sinus fistula, one bleeding at the puncture site, and one stroke. The mean follow-up period was 35.5 months (range, 9–72 months). All the patients were alive, with an obligation rate of 100%. No transient ischemia attack, stroke, or reoccurrence of symptoms was identified during the follow-up period. Radiological examinations identified patency of the stent grafts and revealed no endoleaks, stent fracture, stent migration, or aneurysm rupture. Conclusions Endovascular treatment of ECAAs with self-expandable covered stent grafts appears to be a safe and feasible alternative for traditional open surgery, especially in the challenging anatomy and instable physical conditions. Although cerebrovascular accidents can occur as the result of hemodynamic changes during the perioperative period, the minimal alternative can yield satisfactory midterm follow-up clinical outcomes.

scholarly journals Malignant Arterio-enteric Fistulae: Endovascular Treatment by Covered Stent-graft

EJVES Extra ◽  
2005 ◽  
Vol 9 (3) ◽  
pp. 37-38
Author(s):  
A. England ◽  
P.E. Fulford ◽  
J.S. Butterfield ◽  
R.J. Ashleigh
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Covered Stent ◽  
Covered Stent Graft

scholarly journals Rare case of isolated true aneurysm in the superficial femoral artery treated with endovascular intervention: a case report

2020 ◽  
Vol 4 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Seyong Chung ◽  
Ji-Yong Jang ◽  
Do-Kyun Kim
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Extracorporeal Shock Wave Therapy ◽  
Covered Stent ◽  
True Aneurysm ◽  
Extracorporeal Shock Wave ◽  
Covered Stent Graft ◽  
The Right ◽  
Stent Graft Implantation ◽  
Graft Implantation

Abstract Background  Isolated true aneurysms in the superficial femoral artery (SFA) have rarely been reported. Most cases are undiagnosed until rupture or the occurrence of complications. Case summary A 36-year-old woman presented with a palpable, pulsating mass on her right thigh which had increased in size over 2 months. She also had a swollen right leg and mild claudication (Stage II in Rutherford classification). For 2 months, the patient was treated by manual massage, acupuncture, and extracorporeal shock wave therapy in local clinics. Bed-side ultrasonography identified a 3.4-cm sized true aneurysm of the right SFA. There were no other aneurysms in arteries from head to toe. There was no evidence of atherosclerotic risk factors or connective tissue disease. The patient was successfully treated by a covered stent graft implantation without any complications. Discussion Isolated true aneurysm in the SFA is rare and tends to go undiagnosed especially in young women. Ultrasonography is an easy and useful diagnostic tool for differential diagnosis of thigh mass. In this case, endovascular treatment was safely applied for a true aneurysm without rupture.

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