Common femoral vein stent placement in a frozen abdomen causing acute limb ischemia

Abstract

A 73-year-old woman was admitted for left groin bleeding through an open wound near a fungating left inguinal mass from advanced anal carcinoma. The interventional radiology service placed left iliac vein and common femoral vein stents as there was concern for communication and involvement of the left common femoral vein with the open wound, contributing to groin hemorrhage. After the procedure, the patient developed limb ischemia related to mass effect of the stent on the left common femoral vein stent artery. She was revascularized by placement of a left common femoral vein stent artery stent. This report describes a viable option for revascularization in the rare occurrence of limb ischemia related to venous stenting.

Acute Limb Arterial Ischemia Following Iliac Vein Stenting in the Setting of a Frozen Pelvis

“…The previous case occurred following iliac vein and common femoral vein stenting in a patient presenting with left groin hemorrhage post-radiation, with a large fungating mass in the inguinal region secondary to metastatic anal carcinoma. 1 Acute limb ischemia in that case was thought to be secondary to mass effect of surrounding tumor and radiation-induced fibrosis.…”