Percutaneous panvascular intervention in an unusual case of extensive atherosclerotic disease

Area of Science:

• Cardiology
• Vascular Surgery
• Interventional Radiology

Background:

• Atherosclerotic disease commonly affects multiple vascular beds, necessitating integrated treatment approaches.
• Patients with coronary and peripheral arterial disease often present with complex, multi-systemic conditions.
• Managing extensive atherosclerotic disease requires a comprehensive, multi-specialty strategy.

Purpose of the Study:

• To report a case of successful panvascular revascularization in a patient with extensive atherosclerotic coronary and peripheral arterial disease.
• To illustrate the benefits of an integrated multi-specialty approach for complex vascular conditions.
• To document the long-term outcomes of stenting across multiple arterial territories.

Main Methods:

• A 54-year-old male with diabetes and hypertension presented with congestive heart failure, lower limb claudication, and mesenteric ischemia.
• The patient underwent percutaneous coronary intervention (PCI) and peripheral endovascular procedures.
• Revascularization targeted coronary, renal, mesenteric, aorto-iliac, and superficial femoral arteries.

Main Results:

• Successful percutaneous panvascular revascularization was achieved.
• The patient's symptoms of congestive heart failure, claudication, and mesenteric ischemia were addressed.
• Long-term patency of all implanted stents was confirmed.

Conclusions:

• Panvascular revascularization is a viable and effective strategy for patients with extensive multi-arterial atherosclerotic disease.
• An integrated, multi-specialty approach is crucial for managing complex cases of atherosclerotic disease.
• Percutaneous revascularization offers durable long-term results in treating widespread atherosclerosis.