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CardioVascular and Interventional Radiology

, Volume 33, Issue 5, pp 1036–1039 | Cite as

A Case of Late Femoral Pseudoaneurysm Caused by Stent Disconnection

  • Nicola Rivolta
  • Federico Fontana
  • Gabriele PiffarettiEmail author
  • Matteo Tozzi
  • Gianpaolo Carrafiello
Case Report

Abstract

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.

Keywords

Femoral pseudoaneurysm Stent disconnection Stent fractures 

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009

Authors and Affiliations

  • Nicola Rivolta
    • 1
  • Federico Fontana
    • 2
  • Gabriele Piffaretti
    • 1
    Email author
  • Matteo Tozzi
    • 1
  • Gianpaolo Carrafiello
    • 2
  1. 1.Department of Surgical Sciences, Vascular Surgery, Varese University HospitalUniversity of InsubriaVareseItaly
  2. 2.Department of Radiology, Interventional Radiology, Varese University HospitalUniversity of InsubriaVareseItaly

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