Long-Term Results of Thrombectomy for Late Occlusions of Aortofemoral Bypass

Frisch, Nicolas; Bour, P.; Berg, P.; Fièvé, G.; Frisch, R

doi:10.1007/bf02021771

Cited by 16 publications

(5 citation statements)

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“…Treatment is usually thrombectomy or femorofemoral bypass, with correction or bypass of causative outfl ows as indicated. Primary patency rates of thrombectomy were 97.8%, 81.2%, and 71.3% at 1, 3, and 5 years, respectively, 6 while those for femorofemoral bypass were 54% at 5 years. 5 However, mortality and morbidity from repeated surgery were high as compared to primary bypass procedure.…”

Section: Discussionmentioning

confidence: 92%

“…Although it is necessary to apply individual considerations, several approaches can be employed for the management of graft thrombosis, including repeat bypass grafting, thrombectomy with surgical revision, new extraanatomic bypass grafting, and catheter-directed thrombolysis with balloon angioplasty or stent placement. 1,[3][4][5][6][7] We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for chronic total occlusion after aortoiliac reconstructive surgery.…”

Section: Introductionmentioning

confidence: 98%

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Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: Report of a case

et al. 2009

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We report a case that was successfully treated by primary stent placement without thrombolysis or thrombectomy for graft thrombosis after aortoiliac reconstructive surgery. A 79-year-old man presented with a 2-month history of severe intermittent claudication of the right leg. He had undergone a surgical repair of abdominal aortic aneurysm with a bifurcated polyester graft 3 years before presentation. Digital subtraction angiography revealed total occlusion of the right limb of the graft. He underwent primary stent placement on the lesion, and completion angiography showed revascularization of the right limb. Primary stent placement can be performed to decrease the risks of surgery and increase the salvage of a graft with chronic total occlusion.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 98%

Primary stent placement for late complete occlusion after aortoiliac reconstructive surgery: Report of a case

et al. 2009

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“…Aortobiliac bypass is a well-known solution for abdominal aortic aneurysms. Several complications are described and graft occlusion has been reported as less than 1% [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

Acute aortobiliac graft thrombosis

Leopardi

Maggipinto

Bafile

2021

Annals of Medicine &Amp; Surgery

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Introduction and Importance Acute limb ischemia after infrarenal aortic repair is a rare complication, which in mainly described to appear in a short time after surgery. The aim of this paper is to describe a case of a 66-year-old woman who presented at out attention with acute right limb ischemia, one year later an aortic repair for acute abdominal aortic aneurysm rupture. In the best of our knowledge there are no cases of sudden graft occlusion after such long time, described in literature. Case presentation Patient presented with sudden pain and pallor in the right lower limb and subsequently same symptoms to the left lower limb. One year before she underwent an emergency repair for abdominal aortic aneurysm rupture with an aortobiliac graft. Computed Tomography Angiography (CTA) scan showed a complete occlusion of the infrarenal aorta, including aortoiliac graft, to the common bilateral iliac arteries. On the right side was also found a complete occlusion of the popliteal artery. Emergent embolectomy of the right popliteal artery via the femoral artery was performed. Clinical discussion CTA scan performed on third post-operative day showed the patency of infrarenal aorta and aortic portion of the grafts in presence of floating thrombus, right iliac branch patency and chronic occlusion of left iliac branch. A kinking of both graft iliac branches was evident after this CTA scan. CTA scan at one month demonstrated resolution of the thrombosis of the infrarenal aorta, complete patency of aortic portion of the graft and right iliac branch and chronic obstruction of the left common iliac artery. Conclusion Acute limb ischemia caused by sudden graft occlusion one year later an aortic repair for acute abdominal aortic aneurysm rupture is a very rare event. Graft limbs kinking could explain acute thrombosis of the graft.

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“…4 Primary patency rates were reported between 76% and 63% in 1-5 years, and they seem lower than those reported for surgery. 5 Greiner et al reported that kissing stent technique for treatment of complex iliac occlusive disease should be limited to patients with poor prognosis due to serious comorbidities, and to those who are at high risk for surgery. 6 This case also had a high surgical mortality risk, however the patency rates were expected higher compared to the routine cases.…”

Section: Discussionmentioning

confidence: 99%