Occlusion of a prior bare metal iliac stent was treated with placement of a covered stent using open femoral artery access. The patient underwent simultaneous right common femoral endarterectomy for occlusion of the right common femoral artery. The patient had a prior failed left femoro-posterior-tibial bypass followed by multiple stents in the left SFA with reocclusion after 40 months, resulting in left below-knee amputation. Causes of early thrombosis and late occlusions of iliac stents are discussed.

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Repeat Iliac Stenting and Simultaneous Right Common Femoral Endarterectomy in a Patient with Multiple Prior Endovascular Interventions and Arterial Bypass

  • Sachinder Singh Hans

摘要

Occlusion of a prior bare metal iliac stent was treated with placement of a covered stent using open femoral artery access. The patient underwent simultaneous right common femoral endarterectomy for occlusion of the right common femoral artery. The patient had a prior failed left femoro-posterior-tibial bypass followed by multiple stents in the left SFA with reocclusion after 40 months, resulting in left below-knee amputation. Causes of early thrombosis and late occlusions of iliac stents are discussed.