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Sequential Graft Limb Occlusion Following Endovascular Aneurysm Repair: A Case Report and Literature Review

Ioannis Kontes1, Vangelis Bontinis1, Alkis Bontinis1

  • 1Department of Vascular Surgery, AHEPA (American Hellenic Educational and Progressive Association) University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Cureus
|June 11, 2024
PubMed

Insights

Limb graft occlusion (LGO) after endovascular aneurysm repair (EVAR) can stem from patient, device, or procedural factors. This case study details sequential LGOs in a 64-year-old male, highlighting the varied causes and outcomes of this complication.

Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Medical Complications

Background:

  • Limb graft occlusion (LGO) is a frequent complication following endovascular aneurysm repair (EVAR).
  • Etiologies of LGO are multifactorial, encompassing patient-specific factors, device characteristics, and procedural techniques.
  • Clinical presentations of LGO range from asymptomatic cases to intermittent claudication and acute limb ischemia.

Observation:

  • A case report of a 64-year-old male patient is presented.
  • The patient experienced sequential LGOs post-EVAR.
  • This presentation is accompanied by a thorough literature review.

Findings:

  • The case illustrates the potential for recurrent LGO after EVAR.
  • Analysis of contributing factors in this patient aligns with known LGO risk variables.
  • The literature review synthesizes current understanding of LGO causes and management.

Implications:

  • Understanding the diverse causes of LGO is crucial for preventing and managing this complication after EVAR.
  • This case underscores the importance of vigilant monitoring and tailored management strategies for EVAR patients at risk of LGO.
  • Further research into optimizing EVAR techniques and patient selection may reduce the incidence of LGO.

Keywords:
clopidogrel resistanceevargraft limb occlusioniliac limb occlusionsequential limb occlusion

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