Late Thromboembolic Complication from a Palmaz Stent in the Common Iliac Artery

Journal Article · Wed May 15 04:00:00 EDT 1996 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900041· OSTI ID:21080535

Stoeckelhuber, Beate M; Szeimies, Ulrike ^[1]; Spengel, Florentin A ^[2]; Kueffer, Georg ^[1]

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1. Department of Radiology, University of Munich, Pettenkoferstrasse 8a, D-80336 Munich (Germany)
2. Department of Angiology, University of Munich, Pettenkoferstrasse 8a, D-80336 Munich (Germany)

A 56-year-old smoker presented with rest pain in his left leg and hyperfibrinogenemia. He was found to have a high-grade stenosing thrombus in a Palmaz stent which had been placed 4 years ago across a stenosing ulcerating plaque in the left common iliac artery. Systemic thrombolysis was successful but the patient refused long-term anticoagulation. He presented 2 months later with recurrent stent thrombosis and an embolus to the tibioperoneal trunk. Systemic lysis was successfully performed for the stent reobstruction but the distal embolic occlusion responded neither to systemic nor to local thrombolysis. This case suggests that patients with vascular stents and hyperfibrinogenemia and/or nicotine abuse should be considered candidates for long-term anticoagulation.

• OSTI ID: 21080535
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 19; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
LEGS
LYSIS
NICOTINE
PAIN
PATIENTS
THROMBOSIS