Covered stent grafts for relining of chronically occluded femoro‐popliteal bypasses in frail patients

In four high‐risk patients with chronically occluded femoro‐popliteal bypass suffering from Rutherford 4‐5 chronic limb threatening ischemia we performed, as an alternative for redo surgery, endovasculair relining with covered stent grafts. During follow‐up (3, 8, 14 and 20 months) one patient had r...

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Bibliographic Details
Published in:Clinical case reports 2021-08, Vol.9 (8), p.e04647-n/a
Main Authors: Nistelrooij, Anna M. J., ’t Sant, Hans Pieter, Schouten, Olaf
Format: Article
Language:English
Subjects:
Amputation
Angioplasty
Cardiac arrhythmia
Case Report
Case reports
Chronic obstructive pulmonary disease
critical limb ischemia
Diabetes
endovascular intervention
Gangrene
Heart attacks
Heart surgery
Hypertension
Ischemia
Medical imaging
Morbidity
Patients
Prostheses
stent graft
Stents
Ultrasonic imaging
vascular surgery
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Summary:In four high‐risk patients with chronically occluded femoro‐popliteal bypass suffering from Rutherford 4‐5 chronic limb threatening ischemia we performed, as an alternative for redo surgery, endovasculair relining with covered stent grafts. During follow‐up (3, 8, 14 and 20 months) one patient had redo percutaneous intervention and eventually below‐the‐knee amputation. For frail patients suffering from chronic limb threatening ischemia due to a chronically occluded bypass, who are at high risk when complex open procedures are necessary due to comprehensive prior vascular interventions, endovascular relining of the bypass with covered stents seems to be a viable alternative with low‐perioperative morbidity.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.4647