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Late Complication after Superficial Femoral Artery (SFA) Aneurysm: Stent-graft Expulsion Outside the Skin

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Abstract

A 78-year-old man presented with a 7-cm aneurysm in the left superficial femoral artery, which was considered unfit and anatomically unsuitable for conventional open surgery for multiple comorbidities. The patient was treated with stent-graft [Viabhan stent-graft (WL Gore and Associates, Flagstaff, AZ)]. Two years from stent-graft implantation, the patient presented a purulent secretion and a spontaneous external expulsion through a fistulous channel. No claudication symptoms or hemorrhagic signs were present. The pus and device cultures were positive for Staphylococcus aureus sensitive to piperacillin/tazobactam. Patient management consisted of fistula drainage, systemic antibiotic therapy, and daily wound dressing. At 1-month follow-up, the wound was closed. To our knowledge, this is the first case of this type of stent-graft complication presenting with external expulsion.

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Conflict of interest

Felice Pecoraro, Ermanno R Sabatino, Ettore Dinoto, Giuliana La Rosa, Giuseppe Corte and Guido Bajardi have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

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“All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.”

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Authors and Affiliations

  1. Vascular Surgery Unit, University of Palermo, AOUP “P. Giaccone” Via Liborio Giuffrè 5, Palermo, Italy

    Felice Pecoraro, Ermanno R. Sabatino, Ettore Dinoto, Giuliana La Rosa, Giuseppe Corte & Guido Bajardi

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  1. Felice Pecoraro
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  2. Ermanno R. Sabatino
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  3. Ettore Dinoto
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  4. Giuliana La Rosa
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  5. Giuseppe Corte
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  6. Guido Bajardi
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Correspondence to Felice Pecoraro.

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Pecoraro, F., Sabatino, E.R., Dinoto, E. et al. Late Complication after Superficial Femoral Artery (SFA) Aneurysm: Stent-graft Expulsion Outside the Skin. Cardiovasc Intervent Radiol 38, 1299–1302 (2015). https://doi.org/10.1007/s00270-014-0970-6

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  • DOI: https://doi.org/10.1007/s00270-014-0970-6

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