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Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: Report of a case

Surgery Today volume 39, pages 418–420 (2009)Cite this article

Abstract

We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for graft thrombosis after aortoiliac reconstructive surgery. A 79-year-old man presented with a 2-month history of severe intermittent claudication of the right leg. He had undergone a surgical repair of abdominal aortic aneurysm with a bifurcated polyester graft 3 years before presentation. Digital subtraction angiography revealed total occlusion of the right limb of the graft. He underwent primary stent placement on the lesion, and completion angiography showed revascularization of the right limb. Primary stent placement can be performed to decrease the risks of surgery and increase the salvage of a graft with chronic total occlusion.

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Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, Fujita Health University, Aichi, Japan

    Yuka Kondo & Toshiya Nishibe

  2. Section of Vascular Surgery, Interdepartmental Program in Vascular Biology and Therapeutics, Yale University School of Medicine, New Haven, CT, USA

    Yuka Kondo, Alan Dardik & Akihito Muto

  3. Department of Surgery, Eniwa Midorino Clinic, 1-5-3 Midorimachi, Eniwa, Hokkaido, 061-1442, Japan

    Masayasu Nishibe & Toshiya Nishibe

Authors
  1. Yuka Kondo
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  2. Alan Dardik
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  3. Akihito Muto
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  4. Masayasu Nishibe
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  5. Toshiya Nishibe
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Kondo, Y., Dardik, A., Muto, A. et al. Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: Report of a case. Surg Today 39, 418–420 (2009). https://doi.org/10.1007/s00595-008-3855-y

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  • DOI: https://doi.org/10.1007/s00595-008-3855-y

Key words

  • Prosthetic graft
  • Chronic total occlusion
  • Stent