Unconventional Endovascular Salvage of an Iatrogenic Dissecting Fusiform Long Segment SFA Aneurysm

Abstract

A 50-year-old male patient with 20 years of uncontrolled diabetes and tobacco use presented with severe rest pain in his right thigh and foot; his visual analogue scale pain score was 9/10. He had undergone multiple prior endovascular interventions for severe bilateral life-limiting claudication at another institute; among these were bilateral common iliac arterial stents 8 years ago, and right superficial femoral artery (SFA) stent placement 5 months earlier with E-Luminex 6 mm × 120 mm bare stents for a long segmental SFA occlusion. He provided a vague history of a proximal SFA pseudoaneurysm 1 month after stent placement, which was reportedly treated with ultrasound-guided compression.