A Case of Late Femoral Pseudoaneurysm Caused by Stent Disconnection

Journal Article · Fri Oct 15 04:00:00 EDT 2010 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9677-5· OSTI ID:21428933

Rivolta, Nicola ^[1]; Fontana, Federico ^[2]; Piffaretti, Gabriele; Tozzi, Matteo ^[1]; Carrafiello, Gianpaolo ^[2]

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1. University of Insubria, Department of Surgical Sciences, Vascular Surgery, Varese University Hospital (Italy)
2. University of Insubria, Department of Radiology, Interventional Radiology, Varese University Hospital (Italy)

We present the case of a late superficial femoral artery stent disconnection causing an asymptomatic pseudoaneurysm successfully treated with a stent-graft. A 67-year-old female was referred to our department for evaluation of claudication of the left lower limb and was diagnosed to have a total occlusion of the superficial femoral artery. Three nitinol stents were used to revascularize this artery. At 48 months, duplex-ultrasonography control revealed the presence of a 45-mm saccular femoral dilatation; X-rays and CT angiography showed fractures of the proximal stents and the presence of a pseudoaneurysm at the site of the distal stents disconnection. The pseudoaneurysm was excluded using two stent-grafts. We conclude that patients and surgeons should be aware of structural complications with all stents. Rigorous follow-up controls should be mandatory. Endovascular repair proved to be feasible and durable to manage a previous endovascular procedure.

• OSTI ID: 21428933
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 33; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

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