Superficial Femoral Artery Stent Disruption Treated by Peripheral Endograft
Pasqualino Sirignano1, Michele Citone2, Danilo Menna1
1Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico Umberto I, "Sapienza" University of Rome, Italy.
Abstract:
We report a case of superficial femoral artery (SFA) stent fractures (SF) with atypical symptoms and site of disruption. Patient was hospitalized for sudden onset of right thigh pain, nonrelated to steno-obstructive disease. Preoperative ultrasound suspected and computed tomographic angiography (CTA) confirmed multiple proximal SFA SFs with concurrent pseudoaneurysms. A peripheral endograft was deployed covering the entire SFA, achieving a complete "relining" with exclusion of the pseudoaneurysm. Pain disappeared and postoperative control demonstrated good patency of the SFA. After 1 month, patient reported no further events and CTA revealed patency of the endograft and exclusion of the pseudoaneurysm. At 1 year follow-up, Viabahn is patent with no further symptoms reported by the patient.
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