Covered Stent Treatment of a Chronically Thrombosed Popliteal Artery Aneurysm in the Setting of Critical Limb Ischemia following Multiple Failed Bypass Operations

Ann Vasc Surg. 2018 May:49:315.e9-315.e14. doi: 10.1016/j.avsg.2017.12.015. Epub 2018 Mar 1.

Abstract

Endovascular salvage of failed surgical bypasses has been scantly reported for treatment of infrainguinal occlusive disease. Although catheter-directed thrombolysis and/or mechanical thromboembolectomy have been the mainstay of endovascular salvage of previous bypass grafts, native vessel recanalization remains seldom attempted. Herein, we present a unique approach to native vessel recanalization of a chronically thrombosed popliteal artery aneurysm for nonhealing distal ulceration.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm / diagnostic imaging
  • Aneurysm / etiology
  • Aneurysm / physiopathology
  • Aneurysm / therapy*
  • Angiography
  • Angioplasty, Balloon / instrumentation*
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / physiopathology
  • Arterial Occlusive Diseases / therapy*
  • Chronic Disease
  • Critical Illness
  • Gangrene
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / physiopathology
  • Ischemia / surgery*
  • Male
  • Middle Aged
  • Popliteal Artery / diagnostic imaging
  • Popliteal Artery / physiopathology
  • Popliteal Artery / surgery*
  • Prosthesis Design
  • Reoperation
  • Stents*
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology
  • Thrombosis / physiopathology
  • Thrombosis / therapy*
  • Treatment Failure
  • Vascular Grafting / adverse effects*
  • Vascular Patency
  • Wound Healing