Acute ischemia secondary to popliteal artery stent fracture and embolization

Annalise M Panthofer; Jeniann A Yi; Andy C Chiou; Jon S Matsumura

doi:10.1016/j.jvscit.2023.101143

Acute ischemia secondary to popliteal artery stent fracture and embolization

J Vasc Surg Cases Innov Tech. 2023 Apr 23;9(3):101143. doi: 10.1016/j.jvscit.2023.101143. eCollection 2023 Sep.

Authors

Annalise M Panthofer¹, Jeniann A Yi², Andy C Chiou³, Jon S Matsumura¹

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.
² Division of Vascular Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
³ Peoria Vein Center, Peoria, IL.

Abstract

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.

Keywords: Arterial occlusive diseases; Chronic limb-threatening ischemia; Intermittent claudication; Peripheral arterial disease; Self-expandable metallic stents; Venous stent; Venous thrombosis.

Publication types

Case Reports