PURPOSE: To describe the utility of stent-graft implantation to avoid distal embolization from a large thrombus-containing lesion.CASE REPORT: A 67-year-old man was evaluated for recent onset of disabling left leg claudication. Angiography disclosed a mobile lobular mass occluding the left common iliac artery; irregular staining suggested an atherothrombotic lesion. Through a percutaneous ipsilateral access and an 8-F sheath, a balloon-expandable Jostent peripheral stent-graft was positioned with the distal edge immediately proximal to the internal iliac artery ostium. A prominent "waist" at the center of the balloon confirmed entrapment of the thrombotic mass. Completion angiography showed an optimal result with no residual stenosis or evidence of distal embolization. At 6-month follow-up, the patient was asymptomatic with angiographically documented luminal patency and no evidence of in-stent stenosis.CONCLUSIONS: Stent-graft implantation appears a viable treatment alternative for thrombus-containing lesions, particularly when the thrombotic material is localized or is in a large vessel.
Covered stent to exclude intravascular thrombus / Liistro, Francesco; Stankovic, Goran; Di Mario, Carlo; Montorfano, M; Briguori, Carlo; Colombo, Antonio. - In: JOURNAL OF ENDOVASCULAR THERAPY. - ISSN 1526-6028. - (2002). [10.1177/152660280200900220]
Covered stent to exclude intravascular thrombus
Montorfano M;
2002-01-01
Abstract
PURPOSE: To describe the utility of stent-graft implantation to avoid distal embolization from a large thrombus-containing lesion.CASE REPORT: A 67-year-old man was evaluated for recent onset of disabling left leg claudication. Angiography disclosed a mobile lobular mass occluding the left common iliac artery; irregular staining suggested an atherothrombotic lesion. Through a percutaneous ipsilateral access and an 8-F sheath, a balloon-expandable Jostent peripheral stent-graft was positioned with the distal edge immediately proximal to the internal iliac artery ostium. A prominent "waist" at the center of the balloon confirmed entrapment of the thrombotic mass. Completion angiography showed an optimal result with no residual stenosis or evidence of distal embolization. At 6-month follow-up, the patient was asymptomatic with angiographically documented luminal patency and no evidence of in-stent stenosis.CONCLUSIONS: Stent-graft implantation appears a viable treatment alternative for thrombus-containing lesions, particularly when the thrombotic material is localized or is in a large vessel.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.